An outsider with no knowledge of any single fraudulent claim brings a False Claims Act suit.
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.
Ah, hindsight. It's always 20/20.
Ride along with Mark as he discusses why medical groups shoot themselves in the compliance foot by shooting the messenger.
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.
You may have seen their websites: Anesthesia "practice management companies" that advertise "no stipends!" to obtain facility contracts.