Stephani E. Scott
A few years ago, a provider called me for help. He was being audited and the payer had told him that he owed 100K in overpaid claims. We did a review and immediately saw the problem. He did, in fact, owe the money to the insurance company.
CJ Wolf
It’s not unusual to read about large, multi-million dollar settlements for alleged healthcare fraud and abuses.
Michelle Ann Richards
Take the time to calculate your hospital's incentive payment. It’s important.
CJ Wolf
As we discussed in our previous incident management posts, your compliance program doesn’t need to be perfect, but rather, it needs to be “generally effective” in preventing non-compliance.
Healthicity
1. Tenet Healthcare agrees to plead guilty in Atlanta kickback scheme, will pay $514 million - “Tenet Healthcare Corp. (NYSE: THC) said Monday that it believes it has reached an agreement
Lamon Willis
Auditing is hard work and requires a special kind of personality and superhuman attention to detail.
CJ Wolf
Tenet Health announced on Aug. 1, 2016 that it believes it has come to an agreement with the U.S. government for a $514 million settlement associated with a lawsuit alleging it paid for maternity patient referrals.
Steve Spearman
On August 4, 2016, the Office of Civil Rights announced a resolution agreement with Advocate Health System, the largest health system in the state of Illinois, which included a $5.5 million civil monetary penalty.
