Billing for unnecessary tests and procedures, even on a small scale, is particularly egregious because of the risk inherent to the victim patients, let alone the financial fraud on payors.
Compliance
CMS Opines That Stark Isn’t That Stark – Advisory Opinion Guidance on a Parent-Subsidiary Practice Model That’s Still a Single Group Practice
Under the regulations a group practice must consist of a single legal entity operating primarily for the purpose of being a physician group practice.
Surgeon Gets Just Desserts for Healthcare Fraud – Medical Group Minute
What is your favorite dessert, something that goes well with barbecue?Whether it’s pie or vanilla ice cream (or both!), it’s probably not 10 years in federal prison.
Surgeon Gets Just Desserts for Healthcare Fraud – Podcast
What is your favorite dessert, something that goes well with barbecue? Whether it’s pie or vanilla ice cream (or both!), it’s probably not 10 years in federal prison.
Don’t Do the Crime if You Can’t Do the Time as Hospital CEO – Podcast
Over the years, I have dealt with many hospital CEOs that I thought were criminals. In fact, I have dealt with some who were indicted, and, in at least one case, a CEO who later became a long-term “guest” in the Gray Bar Hotel.
Don’t Do the Crime if You Can’t Do the Time as Hospital CEO – Medical Group Minute
Over the years, I have dealt with many hospital CEOs that I thought were criminals. In fact, I have dealt with some who were indicted, and, in at least one case, a CEO who later became a long-term “guest” in the Gray Bar Hotel.
Ghost of Eliot Ness Busts 345 Defendants in Nation’s Largest Opioid-Fueled Healthcare Fraud Extravaganza – $6 Billion In Alleged False Claims – Podcast
In a move reminiscent of prohibition-era crime fighter Eliot Ness, the U.S. Department of Justice recently announced a coordinated enforcement action against 345 alleged healthcare criminals…
Does More Financial Pressure on Hospitals Signal the Return of Questionable Medical Directorships? – Medical Group Minute
Does More Financial Pressure on Hospitals Signal the Return of Questionable Medical Directorships?
Felon of the American College Of . . . – Success in Motion
Do you know a felon of the American College of . . . ?
Ride along with Mark and find out about some who are headed toward the big house.
“But Everyone Is Doing It!” Is Not a Great Defense to a Compliance Violation
The speed limit’s 70 mph. I’m not going to tell you how fast I’m going, but I’m going with the flow of traffic, which is traveling at a lot more than the speed limit. Would a defense of, “but everyone is speeding” actually work?