ASC

Fraud on Physicians in the ASC Setting

As the shift of surgeries from the hospital setting to the ASC setting accelerates, we’re seeing more fraud at the ASC level. No, I’m not talking about the significant amount of fraud that comes from the “usual suspects,” criminal operators who bill for medically unnecessary procedures, for procedures that never occurred, and so on. Instead, […]

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Compliance

How Many Felonies Have You Committed Today?

How many compliance related crimes have you or your colleagues or employees committed today, whether purposefully or, completely inadvertently? A friend, a former federal prosecutor, recently told me about a book called Three Felonies a Day. The book addresses the fact that, due to the burgeoning number of criminal laws and, even more concerning, regulations […]

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Compliance | False Claims Act

$2.6 Billion Collected by Feds From Compliance Cheats. ROI Makes Warren Buffett Look Like an Amateur.

Even Warren Buffet can’t get you this return: 420% over three years. And, it’s 100% leveraged. OPM. Well, not OPM as in “other people’s money,” but OPM as in “our public money.” That’s the return on investment that the Feds generated from 2015 to 2017 as a result of coordinated Department of Health and Human Services and Department […]

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