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Compliance News Roundup: Kentucky Faces Numerous False Claims Act Violations
1. Kentucky Lab Agrees to Pay $2.1 Million for False Urine Drug Testing Claims -
Deeper Than the Headlines: The Results of a Skilled Nursing Facility Audit
The OIG’s most recent audit of an Arkansas Skilled Nursing Facility (SNF) resulted from claim data-mining it had previously conducted.
Prepare Your Organization for 2019 Compliance Requirements
When the Affordable Care Act was passed in 2010 it included section 6102 requiring nursing facilities to have an effective compliance program.
Compliance News Roundup: Potential Abuse and Neglect at Skilled Nursing Facilities
1. Carolina Physical Therapy and Sports Medicine, Inc. To Pay $790,000 to Resolve False Billing Allegations –
Deeper Than the Headlines: Potential Abuse and Neglect at Skilled Nursing Facilities
OIG’s most recent published report determined that an estimated one in five high-risk hospital ER Medicare claims
Deeper Than the Headlines: OIG Semi-Annual Report
The Department of Health and Human Services has an annual portfolio of services that totals over $1.2 trillion.
Compliance News Roundup: Skilled Nursing Facility Three-Day Inpatient
1. Genetic Testing Company Agrees to Pay $1.99 Million to Resolve Allegations of False Claims to Medicare for Medically Unnecessary Tests –
Deeper Than the Headlines: Skilled Nursing Facility Three-Day Inpatient
For a Medicare patient to be eligible for coverage of post-hospital extended care services, they must be an inpatient in a hospital for not less than 3 consecutive calendar days before being discharged from the hospital.