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Pennsylvania Man Excluded from All Federal Healthcare Programs for 22 Years 

Healthcare Compliance Blog

Between 2017 and 2019, the man, through a group of pain clinics he controlled, caused the submission of false claims for payment to Medicare. If a provider identifies billing mistakes in the course of those audits, the provider must repay overpayments to Medicare and Medicaid within 60 days to avoid False Claims Act liability.

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ChristianaCare Settlement Drives New Legal Theory in False Claims Act Litigation: Hospitals Take Note When Providing Clinical Services to Their Private Physician Groups

Healthcare Law Blog

The ChristianaCare Lawsuit Sherman’s 2017 complaint alleged that ChristianaCare provided prohibited remuneration to Neonatology Associates, a private physician group with an exclusive contract to manage all care in Christiana Hospital’s Neonatal Intensive Care Unit (NICU). 2] District of Delaware | ChristianaCare Pays $42.5 Opening Br.

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Post-Acute Compliance Program Update: OIG Proposes Amendments to Exclusion Rules

Hall Render

Changes to Reinstatements In 2017, OIG finalized regulations implementing a process that allows individuals and entities excluded under section 1128(b)(4) of the Act to request reinstatement before regaining the license that was lost and on which the exclusion is based (referred to as early reinstatement) under two sets of circumstances.

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2018 Medicare Fee-For-Service improper payment rate is lowest since 2010

CMS.gov

Fraud, waste, & abuse. We are proud to announce that the Medicare Fee-for-Service (FFS) improper payment rate is at its lowest since 2010 and the decreased improper payment rate from 2017 to 2018 represents a $4.59 percent in 2017 to 8.12 billion decrease in estimated improper payments from 2017 to 2018. Jeremy.Booth@c….

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Health Provider News

Hall Render

Vincent reopens Westside Crossing Walk-In Care Indiana’s 2017 abortion law violates free speech, federal judge rules Ind. Million CALIFORNIA California hospital dismisses CEO California physician pleads guilty to $2.5M million expansion ‘Very, very unusual.’