Physicians to Pay $700,000 to Settle False Claims Action
Posted by donna@healthlawcenterplc.com in May, 2018
Three physicians located in Pennsylvania, Florida and Indiana agreed to settle allegations that they each received improper payments for referrals from Universal Oral Fluid Laboratories (UOFL), a Greensburg, Pennsylvania, drug testing lab. By accepting payments from UOFL, the three physicians caused false claims to be submitted to Medicare for drug testing services. According to […]
Category: Medicare
Post Tagged with Centers for Medicare & Medicaid Services, False Claims Act, Fraud & Abuse, Stark Law Medicare Improperly Paid for Telehealth Claims
Posted by donna@healthlawcenterplc.com in Apr, 2018
The Department of Health and Human Services Office of Inspector General (OIG) recently published Report A-05-16-00058 indicating that approximately one-third of Medicare telehealth claims in a recent audit did not meet reimbursement requirements. The audit was conducted on a sample of 100 telehealth claims from 2014 and 2015. Most of the rejected claims were associated […]
Category: Medicare, Telemedicine
Medicare Reimburses for Cognitive Care Planning Services
Posted by Donna Craig in Jul, 2017
Medicare Reimburses for Cognitive Care Planning Services More than 5 million individuals in the United States are currently affected by Alzheimer’s disease or other related dementias, with more than 510,000 of those patients living in Michigan.[i] Across this country the care and support for these 5 million individuals are borne by more than 15 […]
Category: Medicare
Electronic Health Record Incentive Program – Are You Feeling More Breathing Room?
Posted by Donna Craig in Oct, 2014
On September 4, 2014 the Centers for Medicare & Medicaid (“CMS”) published a final rule to give eligible healthcare providers more leeway in complying with the Electronic Health Record Incentive Program. With the publication of the final rule eligible healthcare providers may, in 2014, use either the 2011 edition of the certified EHR technology (“CEHRT”) […]
Saved By The New Year’s Bell — EHR Donation Stark Exceptions And Anti-Kickback Safe Harbors Are Modified Under The Final Rule
Posted by Donna Craig in Jan, 2014
Stark and Anti-Kickback electronic health record (“EHR”) donation rules that were scheduled to expire on December 31, 2013 where modified in a final rule on December 27, 2013 to extend certain arrangements for the donation of EHR software or information technology and training services. The Department of Health & Human Services and the Centers for […]
Category: Electronic Health Records
The Centers for Medicare & Medicaid Services Are Tracking You — With The Help From Drug & Device Manufacturers
Posted by Donna Craig in Sep, 2013
The Centers for Medicare & Medicaid Services will be receiving information on financial arrangements physicians and teaching hospitals have with drug and device manufacturers as a result of the Open Payment Sunshine Rule. Beginning in 2014 the information collected will be made publicly available on the CMS website. The Sunshine Rules require drug and device […]
Category: News & Updates
