From Report on Medicare Compliance - A year and a half after the HHS Office of Inspector General warned that physician-owned distributorships (PODs) are “inherently suspect,” the first enforcement action has burst its way onto the scene. The False Claims Act lawsuit alleges a kickback scheme embroiling Michigan neurosurgeon Aria Sabit, M.D., the spinal implant company Reliance Medical Systems, two Reliance distributorships — Apex Medical Technologies and Kronos Spinal Technologies — and the companies’ owners, Bret Berry, John Hoffman and Adam Pike, the Department of Justice said. Read more

From Report on Medicare Compliance - It wasn’t that Brookdale Senior Living didn’t screen its employees for exclusion from federal health care programs. But until mid-2013, the chain of senior living communities wasn’t using the gold standard — Social Security numbers — to do it, and an excluded employee slipped by, according to the HHS Office of Inspector General (OIG). In late July, Brookdale paid $353,248 to settle allegations that it violated the civil monetary penalty… Read more

Compliance Blog

By AIS Staff - July 15, 2014
The scandal at the Department of Veterans Affairs (VA) that has so outraged the nation over veterans’ access to medical care also has pointed the spotlight on whistleblowers and a covered entity’s compliance with whistleblower protection laws. This month’s issue of Report on Patient Privacy (RPP)...
By AIS Staff - June 16, 2014
Let’s say, for whatever reason, you wanted an electronic copy of your medical records. You have a right to them, by law, except that’s not what’s happening at many HIPAA covered entities. For its June issue, Report on Patient Privacy (RPP) took a look at the websites of several prominent health...
By Nina Youngstrom - March 10, 2014
Two recovery audit contractors have a bone to pick with some of the changes planned by CMS for the next round of the five-year RAC contracts and have filed “pre-award” protests with the Government Accountability Office (GAO), Emily Evans, a partner in Obsidian Research Group in Nashville, said at a...

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