Compliance News Roundup: New OIG Work Plan Items Added in July 2018

1. United States Settles False Claims Act Allegations Against Liberty Ambulance For $1.2 Million – “Today, after a multiple-year investigation and the government’s intervention into a whistleblower suit in 2015, the United States announces a $1.2 million settlement with Liberty Ambulance. In reaching this settlement, the parties have resolved allegations that, from June 29, 2005, to January 2016, Liberty Ambulance knowingly up-coded claims for life support services from “Basic” to “Advanced” without justification, unnecessarily transported patients, and unnecessarily transported patients to their homes in an emergent fashion.” Get the full scoop >>

2. Oklahoma Orthopedic Company and Physicians Agree to Pay $670,000 to Settle Allegations of False Claims to Medicare, Medicaid, and Tricare – “Southwest Orthopaedic Specialists, PLLC; Anthony Cruse, D.O.; R.J. Langerman, JR., D.O.; Daniel J. Jones, M.D.; Mehdi Adham, M.D.; Derek West, D.O.; Brian Levings, D.O.; Shane Hume, D.O.; Brad Reddick, D.O.; and Kristopher Avant, D.O., have agreed to pay $670,000 to settle civil claims stemming from allegations that they submitted false claims to Medicare, Medicaid, and Tricare, announced Robert J. Troester, Acting United States Attorney for the Western District of Oklahoma, and Mike Hunter, Oklahoma Attorney General. Get the full scoop >>

3. Deeper Than the Headlines: New OIG Work Plan Items Added in July 2018 – The OIG has added new work plan items in July 2018. I’ve detailed the items I find the most interesting in this weeks post. Included are: Radiation Therapy Planning Services, Post-Operative Services in the Global Surgery Period, Increased Payments for Transfer Claims with Outliers, and SAMHSA's Oversight of Accreditation Bodies for Opioid Treatment Programs. Get the full scoop >>