OIG Approves Lease of Employees to Psych Hospital

On July 28 the Office of Inspector General (OIG) of Health & Human Services gave its blessing to a health system’s lease of employees to a related psychiatric system.  Under the arrangement the system would also provide management services.  In return, the hospital would pay the system its “fully …

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Out of the Mouths of Babes: Millions of Medicaid Dollars

Last Monday the Office of Inspector General of Health & Human Services posted a hair-raising report.  “Questionable Billing for Medicaid Pediatric Services in California” raises alarming questions about the billing practices and service quality of some of that state’s dentists—especially those working …

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OIG Speaks to HCCA Compliance Institute

Daniel Levinson, the Inspector General for the U.S. Department of Health and Human Services, kicked off the annual Health Care Compliance Association (HCCA) Compliance Institute in Orlando Florida this morning.  Nearly all of the 3,000 conference attendees, a new record for the compliance institute, were in …

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OIG Advises that Exclusive Lab Referral Arrangement May be a Kickback

The Department of Health and Human Services Office of Inspector General (OIG) released an advisory opinion (No. 15-04) today that states a proposed arrangement to provide free laboratory tests for certain patients of associated physician practices could implicate the federal anti-kickback law. An unnamed …

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DOJ/OIG Issue FY2014 Report: Health Fraud Recoveries and Case Filings Decline

In an annual report required by Congress and issued today, the Department of Health and Human Services (HHS-OIG) and Department of Justice (DOJ) detailed their FY 2014 results under their coordinated Health Care Fraud and Abuse Control Program (HCFAC Program). In FY 2014, approximately $3.3 billion was …

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Patient Dumps Can be Costly (But Cheaper than Missing Signature under Stark)

Continuing an accelerating series of EMTALA investigations and settlements in 2014 and this year, a Newton, Kansas hospital has agreed to pay $45,000 to settle allegations by the Office of the Inspector General (OIG) of the U.S. Department of Health and Human Services that it violated the Emergency Medical …

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