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Prepare Your Organization for 2019 Compliance Requirements

Posted by CJ Wolf, Jul 18, 2019 10:29:19 AM

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

Posted by Healthicity, Jun 19, 2019 10:15:58 AM

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

Posted by CJ Wolf, Jun 17, 2019 11:20:28 AM

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

Posted by CJ Wolf, Jun 10, 2019 10:54:48 AM

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

Posted by Healthicity, Feb 27, 2019 9:00:00 AM

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

Posted by CJ Wolf, Feb 25, 2019 10:54:05 AM

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.

Compliance News Roundup: OIG Work Plan Updates - Jan. 2019

Posted by Healthicity, Jan 23, 2019 10:12:56 AM

1. Attorney General Announces Two Medicaid Behavioral Health Fraud Convictions -

Deeper Than the Headlines: OIG Work Plan Updates - Jan. 2019

Posted by CJ Wolf, Jan 22, 2019 10:48:32 AM

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.