Medicare Compliance & Reimbursement
Medicare Strike Force Pumps Up The HEAT
Going by its track record HEAT is certainly living up to its name. Recently, Edward Siskel, the Associate Deputy Attorney General, testified before the House Ways and Means Subcommittee on Health and Oversight that since May 2009, the Strike Force has been putting fear in the hearts of health care fraudsters. Strike Force prosecutors have filed over 120 cases charging more than 290 defendants and have obtained 16 convictions. In the twelve months since the Strike Force was announced, the Miami area has seen an almost $2 billion reduction in durable medical equipment submissions compared to the preceding 12 month period. Deputy AG Siskel also notes in his testimony statistics all too familiar to qui tamers: the bulk of the DOJ's civil case load comprises suits against drug and medical device makers. Qui tam suits have proved to be an important weapon in the DOJ's fraud-fighting arsenal and have helped the government to recover $24 billion since 1986.
Medicare Compliance & Reimbursement
- Compliance:
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Medicare Strike Force Pumps Up The HEAT
Going by its track record HEAT is certainly living up to its name. The Health [...] - Payment Trends:
Beware: RACs May Be Triggering MAC Attacks
If you do get a notice of a probe review, don't do this. SNF providers [...] - Medicare Part C:
Make Sure You're on the Same Page With Medicare Advantage Plans
Take heed: Some plans may require frequent recertifications for skilled care. Failing to nail down [...]
