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Hospital-Based

Moody's : UnitedHealth Group and TeamHealth Dispute could indirectly affect hospitals and other providers

Last week, Moody’s Investor Service reported that a contract dispute between UnitedHealth Group and physician staffing company TeamHealth could indirectly affect hospitals and other providers.

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Posted on
September 10, 2019
Compliance

Feds Charge Amity Home Health Care and Advent Care in $115M Medicare Kickback Scheme

Even healthcare organizations acting in good faith can sometimes run into issues with the Anti-Kickback Statute

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Posted on
September 6, 2019
Compliance

How to Mitigate Stacking Risks

Some overpayments are harder to spot–particularly when agreements are “stacked.”

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Posted on
September 5, 2019
Compliance

The Ins and Outs of CIA's

A CIA is a tool implemented to strengthen an organization’s compliance program with government-approved policies and procedures.

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Posted on
August 27, 2019
Compliance

How to Address Benchmark Shifts

Several factors play a role in shifting benchmarks from year to year. By understanding why these benchmarks change from year to year, you can adapt your compliance plan to prepare for change.

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Posted on
August 22, 2019
Physician Contract Strategy
Compliance

In Wake of Wheeling Lawsuit, Two Hospitals to Close in Ohio, West Virginia

The two facilities are set to close in a few months, putting nearly 1,200 employees out of work.

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Posted on
August 14, 2019
Compliance
ED Call Coverage

Broward Health Settles With Former CEO

The kickback allegations are in relation to orthopedic surgeon contracts for on-call emergency department rotation.

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Posted on
August 6, 2019
Compliance

2019 Mid-Year False Claims Update: What does it mean for you?

The False Claims Act imposes liability on people and organizations who defraud government programs.

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Posted on
July 24, 2019
Compliance

Encompass Health Settles False Claims Allegations with DOJ

One way hospitals and health systems can mitigate compliance risk is to promote organization-wide compliance policies and procedures with buy-in from executives, administrators, and physicians.

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Posted on
July 10, 2019
Physician Contract Strategy

Evergreen Clauses in Physician Contracts

Evergreen clauses can protect healthcare organizations with contracts in exception to Stark Law.

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Posted on
July 2, 2019