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June 29, 2015

Recent Stories of Interest

From Report on Medicare Compliance - Cleaning a physician’s office doesn’t sound like it would kick up compliance dust, but that’s what happened at Halifax Health, where every hospital-physician transaction has been deconstructed in the wake of its $85 million false claims settlement for alleged Stark violations. Halifax discovered that four medical groups renting office space didn’t pay for cleaning services, so the health system informed the HHS Office of Inspector General (OIG), according to the first annual report filed in connection with its corporate integrity agreement (CIA), which is available to the public under Florida’s sunshine law. Read more

It seemed a little curious to former prosecutor Robert Sadowski that there… Read more

In a new fraud alert, the HHS Office of Inspector General (OIG)… Read more

When employees keep secrets about their organizations, compliance officers may only be… 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.

July 6, 2015
CMS Issues ICD-10 Guidance

Medicare auditors will go easy on claims submitted under Part B during the first year of ICD-10 implementation. http://tinyurl.com/nscbz5w

July 2, 2015
CMS Proposes Two-Midnight Rule Update

In OPPS rule, CMS more or less leaves the two-midnight rule intact, but shifts short-stay reviews to QIOs. http://tinyurl.com/ojb3xpf

June 18, 2015
Covenant Hospice Will Repay $10M in Overbillings

Covenant Hospice Inc. agreed to pay back the government $10 million for allegedly overbilling Medicare, TRICARE and Medicaid. http://tinyurl.com/pgsewlm

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