Sexual harassment allegations can damage your group’s reputation. Strong policies and investigations protect your group.
Tag: Claims
Extrapolation: How the Government Turns One Alleged Bad Claim Into Thousands of Violations – Medical Group Minute
Compliance – it’s the multi-zillion dollar reason why your medical group’s or healthcare business venture’s efforts must constantly be tested, reviewed, and returned.
Aetna Obtains $37+ Million Judgment Against ASC Manager – Medical Group Minute
Earlier this year, a Santa Clara County, California jury awarded the insurer Aetna a $37,452,199.00 judgment in a lawsuit against Bay Area Surgical Management, LLC, a surgery center management company, a number of its managed ASCs, and three of Bay Area’s executives.
Extrapolation: How the Government Turns One Alleged Bad Claim Into Thousands of Violations – Podcast
Compliance – it’s the multi-zillion dollar reason why your medical group’s or healthcare business venture’s efforts must constantly be tested, reviewed, and returned.
Payor Agreements and Hidden False Claims Act and Criminal Traps
Hidden language in payor agreements can trigger False Claims Act liability and criminal risk—understand and avoid the traps.
Extrapolation: How the Government Turns One Alleged Bad Claim Into Thousands of Violations
Compliance. Ah, what a funny world we live in. Government regulators at the SEC force those offering investment opportunities to issue disclaimers that past performance is not indicative of future results. Extrapolation is bad. Yet a few miles away, other government regulators at the OIG alchemize a handful of discovered violations into thousands more. Extrapolation…
Blowing up Your ASC Because of Confusion of Purpose
Once again, the facility is no longer an ASC either for safe harbor or for Medicare billing purposes.
How to Build A Whistleblower – Medical Group Minute
When I was a kid, I built models, usually of airplanes and of cars.Some hospitals and medical groups build whistleblowers.
Aetna Obtains $37 Million+ Judgment Against ASC Manager – Podcast
Earlier this year, a Santa Clara County, California jury awarded the insurer Aetna a $37,452,199.00 judgment in a lawsuit against Bay Area Surgical Management, LLC, a surgery center management company, a number of its managed ASCs, and three of Bay Area’s executives.
New Trigger of False Claims Act Liability
I know an attorney whose firm was subject to a disqualification motion by opposing counsel on the basis that one of their offices was in a suite that didn’t have a Certificate of Occupancy from the local building department. The motion was denied on the grounds, I believe, of being patently ridiculous. But if the issue involved…