Compliance Hotline Archives – November 25, 2002
November 25, 2002
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Private payers and Medicare expand anti-fraud coordination
Private third-party payers may not wield the hammer known as the False Claims Act, but its important to note that the government now is utilizing publicly available physician data and sharing that information with private payers, says Joseph Russo, president of HP3 Healthcare Concepts in Bethlehem, PA. -
Solo practitioners come under fire
According to Joseph Russo, president of HP3 Healthcare Concepts in Bethlehem, PA, the Department of Health and Human Services Office of Inspector General and Medicare Part B contractors have increased their scrutiny of solo practitioners and small group practices. -
Seven steps to limit your qui tam exposure
One reason the overall number of qui tam suits is declining may be simply that the False Claims Act is working, suggests Stuart Gerson, a partner with Epstein Becker in Washington, DC. -
Defining ‘opt-out’ policies for HIPAA privacy rule
As hospitals design policies in response to demands of the new privacy rule under the Health Insurance Portability and Accountability Act (HIPAA), compliance officers are faced with implementing the fine points of the procedures that will be required.