You are browsing archives for
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 when developing their annual compliance work plan. Investigation of Serious Nursing Home Conditions The Work […]
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 to as the “Lincoln Law”. The original law was focused on unscrupulous vendors who provided […]
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 is greatly outside of norms, you should be prepared to defend the deviation from the […]