An outsider with no knowledge of any single fraudulent claim brings a False Claims Act suit.
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Tag: Claims
Ride along with Mark as he discusses Tenet’s announced impending settlement of a whistleblower lawsuit involving company model allegations
What do you get when you cross a compliance officer with a whistleblower?
Ride along with Mark as he discusses Tenet’s announced impending settlement of a whistleblower lawsuit involving company model allegations.
Telemedicine is the future.
Ride along with Mark as he discusses why medical groups shoot themselves in the compliance foot by shooting the messenger – the bearer of “compliance” bad news.
When physicians think about allegations of kickbacks in the context of large insurers, it’s generally related to how a carrier’s internal “claims cops” have alleged that some physician or other provider engaged in a kickback scheme, obviating the payor’s need to pay claims, or, even worse, supporting their demand for repayment.
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If you're a physician, it's all too likely that you're uncertain about the future, feel the pressure of an all too real governmentally imposed ceiling on your income, and have even less control than ever over your time.
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You may have seen their websites: Anesthesia "practice management companies" that advertise "no stipends!" to obtain facility contracts.
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Considering forming a Medicare certified ASC?
Be careful not to destroy all of your Medicare claims by turning them into false claims.
Tune in this week as we go over different ways that ASC organizers and operators cause the fatal explosion of their businesses.
Comment or contact me if you’d like to discuss this post.
Mark F. Weiss
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