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Health Law Blog
  • March 24, 2017

    Annual measurement and proactive evaluation of program elements and risks through reports and metrics is necessary to routinely determine the effectiveness of a compliance program, according to Bret S. Bissey, Senior Vice President, Compliance Services MediTract. Bissey presented practical suggestions and best practices for evaluating a compliance program in a webinar sponsored by the Health […]

  • March 24, 2017

    For over two years, University of Florida Health Jacksonville did not comply with Medicare billing requirements, due to inadequate billing controls. The noncompliance resulted in overpayments of at least $273,000, according to an audit by the HHS Office of the Inspector General (OIG). Claims The 695-bed not-for-profit hospital submitted 11,134 inpatient claims during the audit period […]

  • March 23, 2017

    The HHS Office of Inspector General (OIG) is the designated Federal agency that oversees state Medicaid Fraud Control Units (MFCUs). It issued a report on their statistical results for 2016. MFCUs are charged with investigating and prosecuting patient abuse or neglect in nursing homes and hospitals, as well as in assisted living facilities. Seventy-five percent […]

Health Law Daily
  • March 21, 2017

    The Eleventh Circuit Court of Appeals vacated a lower court’s decision denying a dairy creamery’s contention that Florida had violated its First Amendment rights when the state prevented it from labeling and selling unfortified skim milk as "skim milk." While Florida was permitted to propose a definition for a given term, it did not follow that once it had done...

  • March 20, 2017

    CMS properly reduced the annual payment update (APU) of a Medicare certified hospice for calendar year 2015 (CY) by two percent for failing to meet the reporting deadline under the requirements of the Hospice Quality Reporting Program (HQRP). The Provider Reimbursement Review Board (PRRB) found that the hospice did not take advantage of CMS resources, including guidance and telephone and...

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