Citing the preambles to the Stark law, the court held that the professional component of inpatient and outpatient hospital services, even if personally performed by the physician, generates a referral of the technical component of such hospital services. Thus, the Stark law is implicated.The ...
If you or a loved one were the victim of healthcare abuse and/or fraud, let our attorneys help you seek compensation from the responsible parties.
uncover more widespread fraud and abuse and prevent personal loss for yourself or others. It’s also a valuable way to help save health care dollars for everyone. After your report is made, UnitedHealthcare works to detect, correct and prevent fraud, waste and abuse in the health care ...
Healthcare fraud and abuse cases cost the industry billions of dollars a year. Without processes in place to detect and prevent fraudulent activities, healthcare providers could face an investigation that may cost them their reputation and revenue. However, developing appropriatehealthcare fraud...
On July 8, 2024, the Office of Inspector General (OIG) updated its Frequently Asked Questions regarding fraud and abuse authorities, adding four new questions and answers. The updates address the legality and conditions under which hospitals may waive cost-sharing charges for patients under financia...
Healthcare programs and insurance initiatives play a crucial role in ensuring that people have access to medical care. There are many benefits of healthcare insurance programs but fraud in healthcare continues to be a significant challenge in the insuran
The DOJ Report shares information on federal prosecutions of health care fraud in the United States. It details the latest efforts of the Inspector General’s Health Care Fraud and Abuse Control Program (“HCFAC”), which has been at work for the past 25 years in a c...
Healthcare fraud, waste, and abuse continue to be a problem for public and private programs. Each year, the Department of Justice (DoJ) reports on the major cases and takedowns involving physicians, pharmacists, and other medical providers. ...
To understand healthcare fraud, you must first know the definition offraud, which is when someone is intentionally deceitful for personal or financial gain. Fraud is awhite collar crime, which is a nonviolent crime usually committed by business professionals. ...
Healthcare Fraud & Abuse annual review,click here. PreviousNext ADDITIONAL RESOURCES Read the latest news and commentary related to the False Claims Act, healthcare fraud and procurement fraud issues, and compliance for COVID-19 relief fund recipients. ...