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...
MEDICARE & HEALTHCARE FRAUD Medicare fraud hurts the most vulnerable in our society and puts the future of these organizations at risk. Examples of possible fraud include upcoding; billing for unnecessary medical services; exchanging money, goods, or services for patient referrals (kickbacks); co...
Compliance – Fraud and Abuse Commercial Litigation False Claims Act Litigation Appeals, Disputes and Protests Involving Governmental Agencies Value-Based and Global Risk Arrangements HIPAA, Data Privacy, and Cybersecurity Healthcare Real Estate and Finance FDA Digital Health and Telemedicine Artificial Intel...
C. Baird Brown
With deep expertise and experience in fraud and abuse counseling, we advise life sciences companies and healthcare providers of all sizes on the full spectrum of related matters — from structuring advice, to day-to-day compliance counseling, to developing, implementing, and auditing compliance progr...
Already, 2015 has seen a host of major fraud news involving dozens of individuals and amounting to millions in abuse, often related to Medicare fraud.
Trump pulls out of giving evidence at fraud trial Ms Northup added: “She desperately wanted to be able to get care where she lives and recover at home surrounded by family. “While Kate had the ability to leave the state, most people do not, and a situation like this could be a ...
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“Spoke Facility” Telehealth Access Fraud and Abuse Concerns. Some hospitals and health systems operate what is called a telehealth “hub – spoke” model where often larger “hub facilities” offer certain specialized care, such as neurology, acute stroke care, pediatric cardiology, for patients ...
Legal Ethics and Best PracticesNovember 12, 1999 Healthcare Fraud and Abuse: Compliance and Enforcement, American Health Lawyers AssociationWashington, DCJohn T. Boese