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

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:7/10/2014)... (Boston) Emergency Medical Service (EMS) responders felt better ... receiving focused tactical training according to a new study ... This is the first study to specifically examine the ... scene where a shooter has not yet been neutralized ... , Incidents such as the Columbine High School shooting, ...
(Date:7/10/2014)... baby" an infant seemingly cured of HIV that was reported ... infection in The New England Journal of Medicine ... two years of not taking antiretroviral therapy without evidence of ... in the case. , "Certainly, this is a ... staff involved in the child,s care, and the HIV/AIDS research ...
(Date:7/10/2014)... of Huddersfield could help to improve the quality of ... such as butter, mayonnaise, yoghurt and fruit drinks ... for her work. , Katerina gained her MSc degree ... now she has embarked on research for a PhD. ... is investigating the potential of carbohydrates extracted from the ...
(Date:7/10/2014)... men with localized prostate cancer were more likely ... received less effective treatments and survived for shorter ... depressed, a UCLA study has found. , The ... factors such as bias against the mentally ill, ... man,s lack of investment in his general health ...
(Date:7/9/2014)... DC (July 10, 2014) If you think winning is ... for kids think again: Winning along with other mental bonuses ... of which falls into one of 11 big fun factors, ... winning is all important when it comes to the "fun" ... and quantify what goes into this elusive conceptuntil now. , ...
Breaking Medicine News(10 mins):Health News:Active shooter training increases comfort level of emergency responders 2Health News:'Mississippi Baby' now has detectable HIV, researchers find 2Health News:'Mississippi Baby' now has detectable HIV, researchers find 3Health News:World interest in research work on the benefits of the Okra plant 2Health News:Depressed men with prostate cancer are diagnosed later stage, get less effective therapies 2Health News:Being a good sport ranks as the top 'fun' factor in study of youth sports 2Health News:Being a good sport ranks as the top 'fun' factor in study of youth sports 3
... Republic International Corporation (NYSE: ORI ) ... of the regular quarterly cash dividend of 17 cents per ... 2009 to shareholders of record on March 4, 2009.The latest ... approved for the second quarter of 2008. The rate ...
... as Asian AffiliateNEW YORK and SINGAPORE, Feb. 26 ... prevention services, has signed an affiliation agreement with ... group based in Singapore and a subsidiary of ... medicine programs throughout Asia. Under the agreement, ParkwayHealth ...
... 274 adults with intellectual disabilities currently receiving funding ... , Washington, DC(February 23, 2009)The Supports Intensity ... for people with intellectual disability based on individual ... tool, unlike adaptive behavior instruments or other measures ...
... the UCSF-Gladstone Institute for Virology and Immunology Center for ... of the next generation of HIV/AIDS researchers and clinician ... in the American Journal for Public Health ... the AJPH website, the program focuses on overcoming challenges ...
... PARK, Ill., Feb. 26 Abbott ( NYSE: ABT ),today ... (AMO). AMO is now a wholly owned subsidiary of ... The acquisition of AMO enhances and strengthens ... leadership position in the large and,growing eye care market. ...
... today announced results for the fourth quarter and year ended December 31, 2008. Highlights from continuing operations for the ... Financial Results, (amounts in millions, except per share amounts), ... Q4 ... ...
Cached Medicine News:Health News:U.S. Preventive Medicine(R), ParkwayHealth Sign Affiliation Agreement to Jointly Deliver Preventive Medicine Services in Asia 2Health News:U.S. Preventive Medicine(R), ParkwayHealth Sign Affiliation Agreement to Jointly Deliver Preventive Medicine Services in Asia 3Health News:Supports Intensity Scale is effective for identifying needs in people with intellectual disability 2Health News:Effective mentoring critical to HIV/AIDS research efforts 2Health News:Abbott Completes Acquisition of Advanced Medical Optics 2Health News:Carriage Services Announces Fourth Quarter 2008 Results 2Health News:Carriage Services Announces Fourth Quarter 2008 Results 3Health News:Carriage Services Announces Fourth Quarter 2008 Results 4Health News:Carriage Services Announces Fourth Quarter 2008 Results 5Health News:Carriage Services Announces Fourth Quarter 2008 Results 6Health News:Carriage Services Announces Fourth Quarter 2008 Results 7Health News:Carriage Services Announces Fourth Quarter 2008 Results 8Health News:Carriage Services Announces Fourth Quarter 2008 Results 9Health News:Carriage Services Announces Fourth Quarter 2008 Results 10Health News:Carriage Services Announces Fourth Quarter 2008 Results 11Health News:Carriage Services Announces Fourth Quarter 2008 Results 12Health News:Carriage Services Announces Fourth Quarter 2008 Results 13Health News:Carriage Services Announces Fourth Quarter 2008 Results 14Health News:Carriage Services Announces Fourth Quarter 2008 Results 15Health News:Carriage Services Announces Fourth Quarter 2008 Results 16Health News:Carriage Services Announces Fourth Quarter 2008 Results 17
(Date:1/14/2014)... Dynamic Healthcare Services, Inc. ("DHS"), a portfolio company of ... Home Medical Equipment, Inc. ("Progressive") of Clarion, PA ... acquisition were not disclosed. Progressive is a ... range of sleep, mobility, and respiratory products to customers in ...
(Date:1/14/2014)... , Jan. 14, 2014 Animal Emergency Critical Care, a ... Leesburg, Virginia is the first in ... chamber. Dr. Susan M. Barnes , Medical ... Barnes and husband, Dr. Cole Taylor , are avid scuba ...
(Date:1/14/2014)... NineSigma , Inc., the leading innovation partner to organizations ... May 14-16, 2014 at the Global Center for Health ... This is the premier industry event for ... open innovation. Participants will learn how world-changing innovation is ...
Breaking Medicine Technology:Dynamic Healthcare Services Completes Progressive Home Medical Equipment of Clarion, PA Investment 2Dynamic Healthcare Services Completes Progressive Home Medical Equipment of Clarion, PA Investment 3Hyperbaric Veterinary Medicine (hvm) Announces Animal Emergency Critical Care Installs A Small Animal Hyperbaric Chamber 2Expect the Unexpected from Leading Global Innovators at NineSigma Leadership Summit, Sharing Winning Strategies to Advance Innovation 2Expect the Unexpected from Leading Global Innovators at NineSigma Leadership Summit, Sharing Winning Strategies to Advance Innovation 3Expect the Unexpected from Leading Global Innovators at NineSigma Leadership Summit, Sharing Winning Strategies to Advance Innovation 4
... HOFFMAN ESTATES, Ill., Nov. 10 Life Spine announced ... Invasive Spinal System. The AVATAR MIS ... screws. Combining the novel screw delivery system with ... designed to accommodate evolving surgical approaches, as well as ...
... MedPro Imaging, a premium provider of new and refurbished ... MC Ultrasound, a leading on-site ultrasound provider for high ... area. The acquisition marks yet another milestone in MedPro ... its commitment of providing quality ultrasound imaging solutions. , ...
Cached Medicine Technology:MedPro Imaging Acquires MC Ultrasound 2
Non-Illuminated Trial Lens Set is an attractive set of trial lenses worked to a high standard of accuracy....
Trial Lens Sets....
... disc test (P/N LD15C) include a durable ... instructions. P/N LD15C also includes a Plexiglas ... covers for the test subjects fingers ( ... color discs). Beware that these finger cots ...
Opti-Free Express multi-purpose disinfecting solution lasting comfort No Rub formula provides triple action protection for your contact lenses....
Medicine Products: