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 – 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.
You may have seen their websites: Anesthesia "practice management companies" that advertise "no stipends!" to obtain facility contracts.