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March 30, 2015

Recent Stories of Interest

From Report on Medicare Compliance - An anonymous letter sent to the compliance officer at Memorial Hermann, a health system in Houston, led to the arrest of a manager in an alleged $9 million, 14-year embezzlement scheme. The case underscores the value of ensuring that employees know how to contact the compliance officer and use the hotline. Kenneth Joseph Wild II, 49, was accused of mail fraud and wire fraud in connection with the submission of phony vendor invoices, the U.S. Attorney’s Office for the Southern District of Texas said on March 23. Read more

The two-midnight rule for inpatient admissions has generally been effective in clarifying… Read more

Out of the blue, CMS seems to have set hospitals free from… Read more

CMS is stripping more providers of their Medicare billing privileges, sometimes using… Read more

From the Editor

Welcome to your Report on Medicare Compliance subscriber-only Web page

Be sure to visit often, for PDFs of issues, archives of articles, links to government documents and more!

Please e-mail me with your comments on the last issue of Report on Medicare Compliance, story ideas for future issues, or any other suggestions you have that can make the newsletter more useful for you.

March 19, 2015
Feds Claim $28B Returned to Medicare Via Fraud Program

DOJ and HHS say $27.8 billion has been returned to Medicare since Health Care Fraud and Abuse Control Program began in 1997.

March 17, 2015
OIG: Northwestern Was Overpaid $6.4M

OIG Medicare compliance review says Northwestern Memorial Hospital was overpaid $6.4 million. http://go.usa.gov/3CNdm

March 12, 2015
"Anti-Fraud Czar" Joins Whistleblower Law Firm

Peter Budetti, CMS's former head of the Center for Program Integrity, joined Phillips & Cohen, a top whistleblower law firm. http://tinyurl.com/qyun72t

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