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Mandatory Compliance Programs for Nursing Facilities and Skilled Nursing...

Mandatory Compliance Programs for Nursing Facilities and Skilled Nursing Facilities SEC. 1128I. ACCOUNTABILITY REQUIREMENTS FOR FACILITIES. (a) Definition of Facility- In this section, the term...

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RCOD Responsible Corporate Officer Doctrine Individual Liability and Exclusion

Prosecution and Exclusion Under the Responsible Corporate Officers Doctrine Over recent years, we have seen healthcare regulatory agencies more actively use an approach that pursues individuals for the...

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Mandatory Compliance Program for Physician Practices – New Blue Paper

Physician Practice Mandatory Compliance Programs New Blue Paper on Compliance Programs for Physician Groups It is no secret that the government is becoming increasingly aggressive in its enforcement...

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Protecting Your Practice From Fraud – Seminar Announcement

Protecting your practice:  Deterring fraud in your organization The best way to stop fraud at your practice? Keep it from starting in the first place. Fraud is more common than you might think, so...

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Developing Compliance Programs For Small Providers

How To Develop A Compliance Program Health care and certified compliance attorney John Fisher of Ruder Ware will discuss government fraud enforcement and how to develop a systematic program to deter...

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OIG Posts 2013 Annual Work Plan

2013 Work Plan Published By The Office of Inspector General  Yesterday (October 2, 2012), the  HHS Office of Inspector General (OIG) published its Work Plan for Fiscal Year 2013.  The work Plan is...

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OIG Work Plan New Hospital Issues Added For 2013

  OIG 2013 Work Plan – Hospital Issues Aded To OIG Work Plan Hospitals—Inpatient Billing for Medicare Beneficiaries (New) Hospitals—Diagnosis Related Group Window (New) Hospitals—Non-Hospital-Owned...

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OIG Issues 2013 Annual Work Plan, Outlines Areas of Focus for Fiscal Year Ahead

OIG 2013 Annual Work Plan Summary                The Office of Inspector General of the Department of Health of Health and Human Services (“OIG”) has published their annual work plan for the 2013...

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Compliance Issues In Mergers and Acquisitions – Compliance Institute 2013

Compliance Issues In Health Care Mergers and Acquisitions John Fisher to Speak at HCCA National Compliance Institute The Health Care Compliance Association (HCCA) has released the program and speakers...

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Compliance Issues In Health Care Mergers and Acquisitions

There is a current trend in the health care industry toward mergers and acquisitions.  As providers consolidate, acquisition issues, such as due diligence, become major issues.  Transitional attorneys...

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Physician Sunshine Act Final Rules Issues

CMS Issues Final Rules Under Physician Sunshine Act  The Physician Sunshine Act was enacted as part of the Affordable Care Act.  The Physician Sunshine Act requires drug, device, biological and medical...

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Nursing Facility Compliance Program Deadline Is Here!

Nursing Facilities Must Have Effective Compliance Programs In Place by March 23, 2013 The statutory deadline requiring nursing facilities to have formal compliance programs in place is upon us.  The...

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Nursing Home Compliance Programs – ACA Statutory Mandate

Mandatory Compliance Program Requirements – Affordable Care Act Statutory Mandate Provisions of Affordable Care Act Relating to Mandatory Compliance Programs For Nursing Facilities   SEC. 6102....

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Long Term Care Compliance Risk Factors

Nursing Home Compliance Plan Risk Areas Identified in OIG Guidance from 2000 The OIG Guidance to Nursing Homes relative to their compliance plans was issued in 2000.  That document contained the...

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Reimbursement for Telemedicine and Telehealth Services

Reimbursement Rules for Telemedicine Slow to Develop The absence of consistent, comprehensive reimbursement policies has historically been one of the most serious obstacles to the development of...

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Self Disclosure Protocols Revised By OIG

Self Disclosure Protocols Revised By OIG The Health and Human Services Office of Inspector General released revised Provider Self-Disclosure Protocol (SDP). The new protocols were released on April 16,...

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HCCA Compliance Institute Presentation On Compliance Role In Mergers and...

John Fisher Presents at National Health Care Compliance Institute in Washington, D.C. John Fisher, JD, CHC, CCEP Ruder Ware health care and compliance attorney John Fisher was a featured speaker at the...

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Compliance Audits in Mergers and Acquisitions

Compliance Audits in Mergers and Acquisitions There is a current trend in the health care industry toward mergers and acquisitions.  As providers consolidate acquisition issues, such as due diligence,...

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Excluded Parties – OIG Bulletin On Reimbursement

OIG Bulletin On Reimbursement For Services of Excluded Parties The Office of Inspector General has issued an updated Special Advisory Bulletin that describes the scope and effect of the legal...

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Physician Practice Compliance Programs – Practical Approach

Physician Practice Compliance Programs – A Practical Approach There is currently a lot of hype out there about the need for physicians to establish compliance programs. I agree that each practice...

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