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There are many reasons why people commit medical fraud. Greed is a prime motivation, but as can be gleaned from the following examples, the justification and methods vary wildly. http://bit.ly/2eLAEn7
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Here are some tips a Compliance Officer can roll out for their lottery pool. http://bit.ly/2dNXTuZ
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But how can you identify the best healthcare workers? http://bit.ly/2dqXUYK
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So begins Modern Healthcare’s expose on the OIG’s newly-awakened interest in pursuing allegations against individual doctors. http://bit.ly/2dxQynI
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In order to further understand the scope of authority bestowed upon OIG by the U.S. Department of Health and Human Services, we must, first and foremost, get acquainted with the concept of Exclusion. http://bit.ly/2cWkMMt
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Let’s take a closer look at the types of cases that make health care fraud a criminal conviction: physicians improperly prescribing drugs or billing for services that weren’t rendered. Grand larceny. Accepting kickbacks. Conspiracy to commit health care and abuse by several parties. Falsifying statements regarding health care matters. http://bit.ly/2cAHX2B
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As concerned members of the healthcare industry, our goal needs to be protection of the individual – patients and employees alike. By putting the proper safeguards into place, we can protect all of the ‘Excluded’s of the healthcare industry, long before their careers come under attack. http://bit.ly/2cXu38Z
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If healthcare compliance is something that affects your business, then these exclusion stats tell a cautionary tale. http://bit.ly/2cJ8Z3Q
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Why would a healthcare organization go ahead and self-disclose, knowing that it will almost definitely be hit with a fine worth tens or even hundreds of thousands of dollars? http://bit.ly/2cJVAuk
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Providers don’t have to maintain separate accounts to pay excluded individuals as long as they don’t submit claims to federal health care programs for the individual’s items or services. http://bit.ly/2djBVDD
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