From Report on Medicare Compliance - Provider-based space is getting another look-see from the HHS Office of Inspector General, according to the mid-year update to its annual Work Plan, which was released June 7. This time, OIG is eyeing provider-based space through a somewhat different lens. Read more
From Report on Medicare Compliance - Pricing in other industries generally doesn’t require as much hashing over laws, regulations and contract language as it does in health care. The upside is that providers may have more room to maneuver when it comes to pricing and discounts than they think, one lawyer says. But they have to walk a careful line to avoid running afoul of the anti-kickback statute and other laws. “Pricing has not been one of… Read more
From Report on Medicare Compliance - An anonymous email complaint should have been business as usual for the compliance program at Broward Health in Fort Lauderdale, Fla., but it has been a bit of a setback for the public hospital district as it tries to get out from under several investigations and move forward with a corporate integrity agreement (CIA). Board members wanted to identify the author of the email rather than address the substance of… Read more
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