The Department of Justice (DOJ) and qui tam plaintiffs are pressing on with their pursuit of healthcare entities for False Claims Act cases and other enforcement actions. Having a compliance program that is effective in...more
KEY POINTS -
- A new CMS Medicare Rule for Calendar Year 2020 reduces the default level of supervision required for hospital outpatient therapeutic services in all hospitals, from "direct" to "general" supervision.
-...more
11/13/2019
/ Centers for Medicare & Medicaid Services (CMS) ,
Department of Health and Human Services (HHS) ,
Final Rules ,
Medicare ,
Medicare Beneficiaries ,
New Rules ,
Outpatient Prospective Payment System (OPPS) ,
Outpatient Services ,
Physicians ,
Supervision ,
Therapeutic Services
"CMS Proposes Sweeping Revisions to the Stark Law" is Part I of a two-part series discussing the US Department of Health and Human Services' (DHHS) recent proposed rules revising the Stark Law and the Anti-Kickback Statute as...more
10/18/2019
/ Anti-Kickback Statute ,
Centers for Medicare & Medicaid Services (CMS) ,
Civil Monetary Penalty ,
Department of Health and Human Services (HHS) ,
Health Care Providers ,
Physicians ,
Proposed Rules ,
Public Comment ,
Regulatory Requirements ,
Safe Harbors ,
Stark Law ,
Value-Based Care
In this presentation:
- Top 5 Fraud and Abuse Risks Facing Health Systems
- Results of Enforcement Action
- Top 5 Steps Health Systems Can Take To Minimize Fraud & Abuse Risk
- Non-Compliant...more