False Claims Act

ACA Reporting and Repayment Mandates are a Real Minefield for Medicare Providers.

Medicare, Medicaid & Private Payor Updates /

(July 9, 2010): Does the failure to promptly return a Medicare overpayment really warrant liability under the False Claims Act (FCA)? Congress thinks so. The Patient Protection and Affordable Care Act (also known as the “Affordable Care Act” or “ACA”) creates an obligation under the FCA whereby a Medicare provider who fails to timely report […]

ACA Reporting and Repayment Mandates are a Real Minefield for Medicare Providers. Read More »

RAC Audits of Physician Practices, Home Health, Hospice, and DME Providers, are Expected to Increase.

Home Health & Hospice /

(June 25, 2010): The purpose of this series of articles is to assess the Recovery Audit Contractor (RAC) Program from the perspective of physicians, home health, hospice, durable medical equipment (DME) providers, and other relatively small Medicare providers. As many non-hospital providers will acknowledge, early cries of wolf by law firms and consultants did a

RAC Audits of Physician Practices, Home Health, Hospice, and DME Providers, are Expected to Increase. Read More »

President Obama Publicizes Measures to Reduce Medicare Improper Payment Rate

Medicare, Medicaid & Private Payor Updates /

(June 8, 2010): For those of you who missed the first two dozen pronouncements (okay, perhaps a little exaggerated, but still . . . we got the message when Congress made it a False Claims Act violation to hold onto a mere overpayment for more than 60 days), President Barack Obama has again expressed his

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