Recent press releases provide notice of activities that draw the government’s ire — and result in serious criminal consequences. Focusing on these issues is a helpful exercise for any physician trying to stay within the law.
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Court Ruling Broadens Hospital Exposure To Whistleblower Claims For Teaching Physician Medicare Billing
By Fox Rothschild LLP on
A recent court decision concerns the method of rotating teaching physicians between multiple surgeries and billing Medicare for those services, and “whistleblower” claims when improperly done.
Continue Reading Court Ruling Broadens Hospital Exposure To Whistleblower Claims For Teaching Physician Medicare Billing
OIG Alert Encourages Physicians To Use Care When Reassigning Medicare Payments
By Fox Rothschild LLP on
Physicians who reassign their right to bill the Medicare program can still be liable for false claims…
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Physicians Forewarned – The Impact of Medical Device Fraud on Physicians’ Practices
By Fox Rothschild LLP on
A recent USDOJ settlement highlights the need for physicians to pay close attention to their dealings with medical device companies.
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Physicians, Other Professionals Exempted from Red Flag Rules
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At last, physicians and other professionals and service providers get some relief from proposed identity theft compliance obligations. On December 18, President Obama signed the "Red Flag Program Clarification Act …
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Fee Schedule Clarifies PPACA Disclosure Requirement For In-Office MRI/CT/PET; Effective Date
By Fox Rothschild LLP on
The health reform law (PPACA) requires referring physicians who provide in-office MRI, CT or PET services to inform a patient in writing at the time of the referral that the patient…
HHS Secretary Sebelius Talks Fraud, Payment Reform At Summit
By Fox Rothschild LLP on
HHS Secretary Kathleen Sebelius addressed the New York Health Care Fraud Prevention Summit on November 5 in Brooklyn and updated attendees on the government’s efforts to rein in health …
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OIG Publishes Physician Compliance “Roadmap”
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Responding to input from medical school deans and residency program directors in a recent survey, the OIG has published a plain-English compliance summary for new physicians entitled Roadmap for …
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Employed by a Hospital? Beware the New 3-Day Window Rule
By Fox Rothschild LLP on
Hospital-owned practices may take an unexpected hit in revenue under a new Medicare rule that bundles certain physician service fees into hospital payments. The so-called “payment window” rule (sometimes referred to…
Continue Reading Employed by a Hospital? Beware the New 3-Day Window Rule
House Passes 6-Month “Doc Fix” Bill
By Fox Rothschild LLP on
On June 24, by a vote of 417-1, the House of Representatives passed a bill (H.R. 3962) impelmenting a six-month deferral of the automatic 21% cuts in the Medicare physician…