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October 3, 2016

Recent Stories

From Report on Medicare Compliance - The prosecutor who filed the first False Claims Act case for violations of the Medicare 60-day rule expects to see a lot more cases like it because the path has been cleared for them. The case ended last month when Continuum Health Partners and three New York City hospitals agreed to pay $2.95 million, and the settlement may mark the beginning of a long line of reverse false claims lawsuits around the rule, which requires health care organizations to return Medicare overpayments within 60 days of identifying and quantifying them. Read more

The chairman of the board of North American Health Care Inc. (NAHC)… Read more

By Oct. 17, hospitals and other providers must post notices of nondiscrimination… Read more

To comply with the two-midnight rule, Todd Butz, physician adviser at WellSpan… 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.

September 28, 2016
CMS Reviving the 68% Solution, Allowing Hospitals to Settle Appeals of Denied Patient-Status Claims

CMS is reviving the 68% solution, allowing hospitals to settle appeals of denied patient-status claims. No details are available.

September 28, 2016
Vibra Healthcare LLC Agrees to Pay $32.7M to Settle False Claims Allegations Over Medically Unnecessary Services

DOJ says Vibra Healthcare LLC agreed to pay $32.7M to settle false claims allegations over medically unnecessary services.

September 27, 2016
DOJ: Former Tuomey Healthcare System CEO Will Pay $1M for Role in Stark Case

DOJ says former CEO of Tuomey Healthcare System will pay $1M for his role in Stark case.

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