In the second decade of the 21st century, many healthcare providers are struggling to decide whether or not to accept patients who have Medicaid. A key issue is the provider’s ability to ensure compliance with its myriad reimbursement regulations.
Posted in Compliance
Also tagged ACA, Affordable Care Act, billing process, CMS, coding, electronic health records, health law, healthcare law, HIPPA, ICD-10, Medicaid, Medicaid fraud, Medicare, OAH, revenue cycle management, whistle blowing
With the sweeping changes made by healthcare reform law, the provisions which amend the federal Anti-Kickback Statute have not received widespread attention. However, these provisions clarify that a violation of the Anti-Kickback Statute constitutes a false or fraudulent claim and could have far reaching effects for physicians.
By: Charles B. Oppenheim, Robert L. Roth, and Patricia H. Wirth The federal government sued Joseph Campbell, M.D. for alleged false claims submitted not by Dr. Campbell, but by a hospital. Dr. Campbell had an employment contract with the hospital for 20 hours of service per week. However, although Dr. Campbell did everything the hospital […]