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Billing government programs for poor quality healthcare doesn't trigger false claims liability, according to a ruling last week by the 7th U.S. Circuit Court of Appeals.
Federal prosecutors filed a civil lawsuit against a California hospitalist company for allegedly overcharging government programs for physician care, the Department of Justice announced last week.
Whether or not they've committed wrongdoing, payers are increasingly becoming the targets of significant fraud investigations. So it pays to prepare financially and operationally for this possibility. FierceHealthPayer: Anti-Fraud interviewed Kirk J. Nahra, J.D., a partner in the Washington, D.C. law firm WileyRein, to bring readers expert advice on this topic.
The Office of Inspector General released an updated strategic plan that sets four broad goals to guide the agency's oversight of more than 300 government programs through 2018: fighting fraud, waste and abuse; promoting quality, safety and value; securing the future; and advancing excellence and innovation.
Press Releases
- AHIMA Launches Petition for National Voluntary Patient Safety Identifier
- HHS announces major commitments from healthcare industry to make electronic health records work better for patients and providers
- Statement by Theranos on CMS Audit Results
- MISSING PIECES: MAJOR HEALTH DATABASE HAS DEEP FLAWS
- Majority of Americans Don't Use Digital Technology to Access their Doctors
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