Compliance News Roundup: OIG Work Plan Items - June 2018

1. Healogics Agrees to Pay Up to $22.51 Million to Settle False Claims Act Liability for Improper Billing of Hyperbaric Oxygen Therapy – “The Justice Department announced today that Healogics, Inc. has agreed to pay up to $22.51 million to settle allegations that it violated the False Claims Act by knowingly causing wound care centers to bill Medicare for medically unnecessary and unreasonable hyperbaric oxygen (“HBO”) therapy. Healogics, a Florida-based company, manages nearly 700 hospital-based wound care centers across the country.” Get the full scoop >>

2. Philadelphia Personal Injury Law Firm Agrees to Start Compliance Program and Reimburse the United States for Clients’ Medicare Debts – “U.S. Attorney William M. McSwain announced today that a Philadelphia personal injury law firm, Rosenbaum & Associates, and its principal, Jeffrey Rosenbaum, Esq., have entered into a settlement agreement with the United States to resolve allegations that they failed to reimburse the United States for certain Medicare payments the government had previously made to medical providers on behalf of firm clients who sought medical care.” Get the full scoop >>

3. Deeper Than the Headlines: OIG Work Plan for June 2018 – In June 2018, the OIG added more items to its work plan. In this week’s installment of Deeper Than the Headlines, we’re going to talk about those newly added items which include: Review of home health claims for services with 5 to 10 skilled visits, Medicare Part B payments for end-stage renal disease dialysis services, accountable care organizations' strategies aimed at reducing spending and improving quality, and inappropriate denial of services and payment in medicare advantage. Get the full scoop >>

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