This week the Office of Inspector General published an interesting Advisory Opinion (AO 12-22) dealing with a cardiology co-management agreement between a hospital and a private cardiology group practice.
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Fraud and Abuse
OIG Announces 2013 Priorities
By Fox Rothschild LLP on
OIG has announced its priorities for 2013 and some are of special interest to physicians.
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OIG Issues Favorable Advisory Opinion on Free Technology from Hospital
By Todd Rodriguez on
Physicians in private practice are increasingly relying upon their local hospitals for assistance in making the transition to full-fledged electronic medical records. The Office of Inspector General (OIG) of the…
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OIG Blesses On-Call Compensation Arrangement
By Todd Rodriguez on
This week the Office of Inspector General of the Department of Health and Human Services published Advisory Opinion 12-15 in which it blessed an on-call compensation arrangement between a hospital and specialist physicians on its staff.
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Don’t Ignore Billing and Coding Rules
By Todd Rodriguez on
Many physicians were once content (and a few still are) to let their coders select their codes for billing purposes. At a time when enforcement authorities have some heavy-duty technological…
Fair Market Value Really Does Matter
By Todd Rodriguez on
In my experience, many healthcare providers fail to take seriously the importance of fair market value in their business arrangements. In fact, one of the most important means of ensuring compliance with federal…
Enforcement Update – Bad Actors Continue to Pay
By Fox Rothschild LLP on
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.
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Fraud and Abuse Compliance More Important Than Ever
By Todd Rodriguez on
Health care fraud and abuse enforcement activity is at an all-time high yet many physicians and other providers lack a basic understanding of the key healthcare fraud and abuse statutes…
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Another Record Fraud Bust
By Todd Rodriguez on
When it comes to record-breaking Medicare fraud busts, the hits keep coming. The feds announced today another nationwide takedown of physicians and other healthcare providers for Medicare fraud totaling in…