Navigation Links
Video: Antifraud Compliance Getting More Complex for Hospitals
Date:4/21/2008

le changes and enforcement initiatives are just a reflection of that."

The new information-collection program announced in September imposes stiff penalties ($10,000 per day) for late filings. There will be much more scrutiny on the contractual relationships that physicians have with hospitals, other health systems, imaging centers, durable medical equipment suppliers, and other health professionals. Figuring out whether their physician relationships -- from recruiting through medical directorships -- will take much more careful effort on the part of hospitals and their senior management.

Why Monitoring Hospital-Physician Relationships Is Getting Harder

Two federal laws address hospital-physician relationships: an anti- kickback statute with criminal penalties, and a physician "self-referral" statute (the "Stark Law"), with civil penalties. The Office of the Inspector General (OIG) has been enforcing these statutes aggressively, with more than a dozen settlements with hospitals or health systems in the last three years.

Hospital employees have an incentive to report violations: "Whistleblower" statutes can result in rewards of up to 30 percent of any penalties the government collects. With millions of dollars at stake, these incentives can be very powerful.

According to Jack Gilbertson, senior manager in Deloitte & Touche LLP's Regulatory and Capital Markets practice, "The OIG's 'hot' enforcement areas for 2008 include services provided by non-physicians 'incident to' physician services, business relationships that include imaging services, billing for independent diagnostic and ultrasound services, and fraud related to reassignment of a physician's right to Medicare payments."

If a hospital uncovers a problem and wants to disclose it, the OIG has a "Self-Disclosure Protocol" that can lead to less painful settlements and penalties. This process can also mitigate the pain of ongoing compliance sanctions.

A hospital doi
'/>"/>

SOURCE Deloitte
Copyright©2008 PR Newswire.
All rights reserved

1

GOOD

Page: 1 2 3 4 5

Related medicine news :

1. Video: Phoenix Suns Amare Stoudemire Kicks Off Program to Encourage Teens to Wake Up and Go to School
2. Video: National Association of School Nurses Launches Educational Program to Address Surge of Prescription Drug Abuse by Americas Youth
3. Video: Julianne Hough From Dancing With the Stars(TM) Has a New Partner: DR. SCHOLLS(R) FOR HER
4. Video: Start! Walking America: The American Heart Associations National Start! Walking Day Is April 16
5. Video: U.S. Olympic Hopefuls Featured in National Campaign to Combat Childhood Obesity
6. Video: Senators and CEOs Urge Passage of Health IT Bill Now
7. Video: Rubber Hits the Road as Trojan(R) Campaigns for Sexual Health in America to Evolve
8. Video: New Autoimmunity Public Service Campaign Alerts Men About Their Autoimmune Disease Risk
9. Video: Walgreens to Provide $35 Million in Free Health Screenings with The Take Care Health Tour
10. Video: Could You Be At Risk? American Diabetes Association Sounds the Alert on March 25th - ADAs 20th Annual American Diabetes Alert(R) Day
11. Video: TI unveils industrys first family of complete analog front ends for superior ultrasound systems
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:5/24/2013)... 24, 2013 DiaperBuys.com is pleased to ... Contest. Lindsey Willis of Olathe, Kansas, won the grand ... DiaperBuys. Second prize was a three-month supply of Cuties ... Vegas, Nev.; and third prize, a one-month supply, went ... was run through the company’s Facebook page. Entrants uploaded ...
(Date:5/24/2013)... Scott Ryan Tischler of Tischler Brothers Fitness recently ... of fat in just over a year. Not only ... importance of exercising. Scott also taught Troy the importance ... rules of healthy eating and having a regular exercise ... 1.    Find a distraction when a food craving attacks. Pushups ...
(Date:5/23/2013)... May 23, 2013 Over the past ... gradually transforming, which has affected the Medical Group ... and seeking regular hours, more young physicians are opting ... other medical groups,” says IBISWorld industry analyst Anna Son. ... pressure, a number of older physicians are selling their ...
(Date:5/23/2013)... 23, 2013 Whether working in an ... and law enforcement need an added layer of protection ... Night VISER , is an effective portable, rugged, ... system to increase border and perimeter security. , Today, ... more than tripled over the past three years, with ...
(Date:5/23/2013)... (PRWEB) May 23, 2013 Vegas ... is pleased to announce all new vacation packages ... in coming to Las Vegas for this patriotic ... it is thanks to VegasHotelEscapes.com's new special pricing ... to state that it guarantees the lowest prices ...
Breaking Medicine News(10 mins):Health News:DiaperBuys.com Announces Photo Contest Winners 2Health News:Medical Group Practice Management in the US Industry Market Research Report Now Available from IBISWorld 2Health News:Medical Group Practice Management in the US Industry Market Research Report Now Available from IBISWorld 3Health News:Lighting Up the Night: ARA Announces Record Sales of Its Night VISER System 2Health News:Lighting Up the Night: ARA Announces Record Sales of Its Night VISER System 3
... is rising dramatically throughout the world. A large proportion of ... facts that water pipe smoking is less dangerous than ... under way at Uppsala University. Use of water ... according to a number of studies conducted in Europe and ...
... HealthDay Reporter , WEDNESDAY, April 6 (HealthDay News) -- What ... your heart health in the future, suggests new research. ... even if it,s well within the normal range, the greater your ... published in the April 7 issue of the New England ...
... a new Clinical Practice Guideline (CPG) for the evaluation and ... April 2011 issue of the Journal of Clinical Endocrinology ... A pituitary incidentaloma is a tumor or lesion on ... person has an imaging test for an unrelated reason. Doctors ...
... , WEDNESDAY, April 6 (HealthDay News) -- In a development ... heterosexual couples confirms that the risk of transmitting HIV rises ... fluid. The finding -- that more virus translates ... this extent before, said study lead author Dr. Jared M. ...
... The persistent fatigue that plagues one out of every three ... autonomic nervous system running in overdrive, while the other part fails ... in the body appears linked to the tiredness and exhaustion that ... successful treatment. The effect is so great, researchers say, that ...
... 2011 Neuralstem, Inc. (NYSE Amex: CUR) announced that ... cord stem cells (HSSCs) in amyotrophic lateral sclerosis (ALS ... presentations at the American Academy of Neurology (AAN) Annual ... Chief among these will be a presentation by Eva ...
Cached Medicine News:Health News:More smoke water pipes -- family habits significant 2Health News:Teen Weight Affects Later Heart Disease Risk: Study 2Health News:Teen Weight Affects Later Heart Disease Risk: Study 3Health News:Experts issue recommendations for evaluating and treating pituitary incidentalomas 2Health News:Amount of HIV in Genital Fluid Linked to Transmission 2Health News:Breast cancer patients' persistent fatigue is real, may actually speed up aging 2Health News:Breast cancer patients' persistent fatigue is real, may actually speed up aging 3Health News:Neuralstem ALS trial in multiple presentations at upcoming American Academy of Neurology meeting 2Health News:Neuralstem ALS trial in multiple presentations at upcoming American Academy of Neurology meeting 3
(Date:5/24/2013)... China Biologic Products, Inc. (Nasdaq: CBPO, "China Biologic" or ... in China , today announced that ... issued by Shanghai RAAS Blood Products Co., Ltd. ("Shanghai ... that on May 21, 2013, Ms. Siu ... shareholders of the Company, and her spouse, Mr. Tung ...
(Date:5/24/2013)... , May 24, 2013  Auxilium Pharmaceuticals, Inc. (Nasdaq: ... will participate in the Deutsche Bank Health Care Conference ... Waterfront Hotel.  Mr. Adrian Adams , ... an overview of the Company and its product pipeline ...   (Logo: http://photos.prnewswire.com/prnh/20101202/MM10881LOGO ) ...
(Date:5/24/2013)... YORK , May 24, 2013 In accordance ... Rules and Rule 14e-1 of the United States Exchange Act, ... its original offer for Elan Corporation (NYSE: ELN). ... Limited ("Royalty Pharma") made an offer for the entire of ... Corporation, plc ("Elan") (the "Original Offer").  On ...
Breaking Medicine Technology:China Biologic Comments on the Proposed Shanghai RAAS Transaction 2China Biologic Comments on the Proposed Shanghai RAAS Transaction 3China Biologic Comments on the Proposed Shanghai RAAS Transaction 4Auxilium Pharmaceuticals, Inc. To Present At The Deutsche Bank Health Care Conference 2Auxilium Pharmaceuticals, Inc. To Present At The Deutsche Bank Health Care Conference 3Auxilium Pharmaceuticals, Inc. To Present At The Deutsche Bank Health Care Conference 4Royalty Pharma Discloses Acceptance Levels of Original Offer for Elan Pursuant to Irish and United States Regulatory Requirements 2Royalty Pharma Discloses Acceptance Levels of Original Offer for Elan Pursuant to Irish and United States Regulatory Requirements 3Royalty Pharma Discloses Acceptance Levels of Original Offer for Elan Pursuant to Irish and United States Regulatory Requirements 4Royalty Pharma Discloses Acceptance Levels of Original Offer for Elan Pursuant to Irish and United States Regulatory Requirements 5Royalty Pharma Discloses Acceptance Levels of Original Offer for Elan Pursuant to Irish and United States Regulatory Requirements 6Royalty Pharma Discloses Acceptance Levels of Original Offer for Elan Pursuant to Irish and United States Regulatory Requirements 7Royalty Pharma Discloses Acceptance Levels of Original Offer for Elan Pursuant to Irish and United States Regulatory Requirements 8Royalty Pharma Discloses Acceptance Levels of Original Offer for Elan Pursuant to Irish and United States Regulatory Requirements 9
... InfoLogix, Inc. (Pink Sheets: IFLG ), ... the healthcare and commercial industries, announced today that it ... Faire and Regional Conference, sponsored by HIMSS South Florida ... Grand Hotel in Davies, FL (situated North of Miami) ...
... Mass., Oct. 25 GENFIT (Alternext: ALGFT; ISIN: FR0004163111), ... and development, focusing on the early diagnosis and preventive ... it has been selected by Windhover as one of ... the cardiovascular/metabolic category. This announcement is part of the ...
Cached Medicine Technology:InfoLogix to Present at South Florida Healthcare Trade Faire & Regional Conference 2GENFIT Selected by Windhover for the 2011 'Top Biopharma Projects To Watch' 2GENFIT Selected by Windhover for the 2011 'Top Biopharma Projects To Watch' 3
... designed specifically for posteror ... injection of silicone oil ... Special high pressure tubing ... cannula. May also be ...
Product designed specifically for posteror segment surgical procedures. Facilitates posterior segment infusion. Flexible tubing 10in (25cm)....
For surgical treatment, repair and irrigation of the nasolacrimal system. Stainless steel probes, 23G x4 1/2in (.60mm x 11cm) Silicone tubing, length 14in (35cm), ID: .012in (.30mm) OD: .025in (.60mm...
...
Medicine Products: