Government and nonprofit borrowers recently received some favorable new rules from the IRS regarding management contracts for projects financed with tax-exempt bonds. Rev. Proc. 2016 44 provides flexible guidance to determine when management contracts and similar service agreements involve problematic private use. …
DOJ/OIG Issue FY2014 Report: Health Fraud Recoveries and Case Filings Decline
March 19, 2015 Leave a Comment
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 …
Patient Dumps Can be Costly (But Cheaper than Missing Signature under Stark)
March 18, 2015 Leave a Comment
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 …
$85 MILLION SETTLEMENT WITH DOJ IN HALIFAX HOSPITAL STARK CASE
March 5, 2014 Leave a Comment
Facing as much as $1.1 billion in damages and civil penalties and having already spent more than $15 million in legal fees, Halifax Hospital in Daytona Florida averted jury selection in its upcoming trial by reaching an $85 million tentative settlement with the Department of Justice, according to the …
RehabCare Pays $30 Million to Settle Alleged Kickbacks
January 21, 2014 Leave a Comment
The Department of Justice recently announced a $30 million settlement with RehabCare to resolve a whistleblower lawsuit alleging kickbacks and false claims related to therapy services provided at 62 skilled nursing facilities. In 2006, RehabCare entered into a five-year agreement with Rehab Systems of Missouri, …
When Is a Hospital Bed Not a Hospital Bed?
December 13, 2013 Leave a Comment
A recent CMS (Centers for Medicare & Medicaid Services) advisory opinion provides an answer to the riddle, "When is a hospital bed not a hospital bed?" The answer provided by Advisory Opinion No. 2013-03, issued November 11, 2013, is that under certain circumstances a hospital bed in a physician-owned hospital …