Appropriate reimbursement requires compliance
Compliance guidance requires education...continually
Lookup a coding or compliance topic — or ask a question.
These on-demand eCourses are available immediately.
Call our Client Support Team (877) 976- 6677
Smart Revenue Rocks!
More
Summary Judgement Bars Prosecution of Former Compliance Officer A hospital system’s corporate integrity agreement (CIA) officer and in-house counsel successfully argued that the statute of limitations barred a False Claims Act (FCA) complaint against her, according a ruling filed by U.S. District Court for the Southern District of Florida (Court), dated April 16, 2010. The […]
The Federal Sentencing Commission defined an “effective compliance and ethics program,” in changes to their Federal Sentencing Guidelines (Section 8B2.1), as published in the Federal Register on April 29. The proposed changes take effect Nov. 1, unless Congress moves to block them. The following contains the amendments: Effective November 1, 2010
RAC 101 Video Posted by CMS CMS posted a recording of a RAC 101 seminar conducted by Connie Leonard and Commander Marie Casey, earlier in April. The video includes a short Q&A period at the end. You can turn the captioning on/off or see other videos using the player’s controls:
Text of the Patient Protection and Affordable Care Act This bill was enacted after being signed by the President on March 23, 2010. Read the text of the bill as of Aug 25, 2010 (Passed Congress/Enrolled Bill). For more links and information, or to research current legislation visit The Library of Congress
Documents concerning payment of Part B despite a Part A Denial A February 1, 2010 decision by the Medicare Appeals Council (Council) found in favor of the appellant (O’Connor Hospital in San Jose, CA). This decision is consistent with a March 14, 2005 decision by the Council, which found in favor of that appellant (University […]
Adds Another $250 Million to Combat Medicare Fraud and Errors The new health reform legislation signed by President Obama on March 23 (H.R.3590), plus the reconciliation “fixes” enacted on March 25 (H.R. 4872) provide $250 Million of additional funding for Medicare audits and enforcement, create new federal enforcement tools, create a new Stark self-disclosure process, […]
Council Denies CMS Appeal The Medicare Appeals Council (Council) disagreed with the Centers for Medicare and Medicaid Services (CMS) when asked by CMS to review and overturn a September 2009 decision by an Administrative Law Judge (ALJ). The case concerns an ALJ decision that agreed with a Demonstration Project RAC to deny Medicare coverage for […]
OIG Report on Recovery Audit Contractors’ Fraud Referrals Download the complete report HERE Excerpts from EXECUTIVE SUMMARY OBJECTIVES To determine the extent to which: recovery audit contractors (RAC) referred cases of potential fraud to the Centers for Medicare & Medicaid Services (CMS) during the demonstration project, and CMS provided training to RACs regarding fraud identification […]
