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When the Affordable Care Act was passed in 2010 it included section 6102 requiring nursing facilities to have an effective compliance program.
1. Carolina Physical Therapy and Sports Medicine, Inc. To Pay $790,000 to Resolve False Billing Allegations –
OIG’s most recent published report determined that an estimated one in five high-risk hospital ER Medicare claims
The Department of Health and Human Services has an annual portfolio of services that totals over $1.2 trillion.
1. Genetic Testing Company Agrees to Pay $1.99 Million to Resolve Allegations of False Claims to Medicare for Medically Unnecessary Tests –
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.
1. Attorney General Announces Two Medicaid Behavioral Health Fraud Convictions -
It’s that time again. The OIG has updated their work plan with January 2019 additions. Here are some of the recent items I thought you’d find of interest.