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Category Archives: Fraud and Abuse
Skilled Nursing Facility Compliance Work Plan
Skilled Nursing Facility and Nursing Home Annual Work Plan The OIG’s 2017 Annual Work Plan identified a few new areas of focus relating to nursing homes and skilled nursing facilities. Nursing home compliance officers should consider these newly identified issues … Continue reading
Posted in Compliance Effectiveness, Fraud and Abuse, Health Care Compliance
Tagged Annual Work Plan, compliance program, Nursing Home
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False Claims Act – Lincolns Law and the Health Care Compliance Industry
Federal False Claims Act – Lincoln’s Law Applied to Health Care When Congress originally passed the False Claims Act (31 USC §§ 3729-3733), no one had the health care system in mind. The False Claims Act was also commonly referred … Continue reading
Posted in Compliance Investigations, Corporate Compliance Programs, Fraud and Abuse, Health Care Compliance, Uncategorized
Tagged False Claims Act, FCA Liability, Lincoln's Law
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Identifying Practice Outliers Using Data Mining
Data Mining Used to Identify Practice Outliers A Note From the OIG Presentation at the HCCA Compliance Institute The federal government is actively using data to identify providers who perform outlier billing. If your billing patterns reflect a pattern that … Continue reading
Posted in Compliance Investigations, Fraud and Abuse, Health Care Compliance
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