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Category Archives: Settlements

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An Opportunity for the OIG and Providers

By Frank Sheeder on Posted in Administration, Enforcement, Government Initiatives, Medicaid, Medicare, OIG, Settlements

The HHS-OIG has published a Federal Register notice asking for comments to its 14 year-old Provider Self Disclosure Protocol.  This is a great opportunity for providers to make their voices heard.  We are thinking about making some comments.  Feel free to contact me if you are interested in participating. In my opinion, the Protocol is… Continue Reading

12 Enforcement and Compliance Predictions for 2012

By Frank Sheeder on Posted in Culture, DOJ, Enforcement, Government Initiatives, ICD, Implantable Cardiac Devices, Long Term Care, Medicaid, Medicare, OIG, Reform, Settlements

This has been an interesting year for the health care industry, and I believe the coming year will be even more exhilarating.  Here are my 12 enforcement and compliance predictions for 2012.  Please comment with yours.  We’ll see how we do. . . .   Regardless of what happens with the health care reform law, the current market forces… Continue Reading

New Healthcare Compliance App

By Frank Sheeder on Posted in Enforcement, False Claims Act, Fraud, ICD, Implantable Cardiac Devices, Medicaid, Medicare, News, OIG, RACs, Reform, Settlements, Social Networking, Stark Law, Stimulus

If you have an iPhone or iPad, you can now access The Healthcare Compliance Blog, presentations, podcasts, Twitter feeds and other helpful information through my new App.  Search the App Store for “Compliance Law” or “Sheeder.” Here’s a link to the Apple iTunes listing:  http://tinyurl.com/sheederapp/ Kindly let me know what you think.  Thanks.

Healthcare Enforcement Challenges for Hospitals: 2011 and Beyond

By Frank Sheeder on Posted in Administration, Enforcement, Government Initiatives, ICD, Implantable Cardiac Devices, Medicaid, Medicare, OIG, RACs, Reform, Settlements, Stark Law

Healthcare Enforcement Challenges for Hospitals: Intro This is the first in a series of short presentations aimed at enforcement, litigation and compliance challenges for healthcare providers.  Please view/listen and provide feedback.  Thanks.

Alleged Stark Law Violations Can Cause Risk Under the False Claims Act

By Frank Sheeder on Posted in False Claims Act, Government Initiatives, Settlements, Stark Law

Here is the most recent example of how the government (and whistleblowers) can treat an alleged Stark law violation as a False Claims Act case.  It’s not just the Stark issues that a provider has to worry about, but also the claims submitted while the alleged violation exists — this makes such cases a lot more… Continue Reading

Two Atlanta-Based Nursing Home Chains and Their Principals Pay $14 Million to Settle False Claims Act… — WASHINGTON, Feb. 26 /PRNewswire-USNewswire/ –

By Frank Sheeder on Posted in Long Term Care, Settlements

WASHINGTON, Feb. 26 /PRNewswire-USNewswire/ — Atlanta-based Mariner Health Care Inc. and SavaSeniorCare Administrative Services LLC, as well as their principals, Leonard Grunstein, Murray Forman and Rubin Schron, have agreed to pay the United States and several states $14 million, the Justice Department announced today. This settlement arises from allegations of the United States that the… Continue Reading

Indiana and Alabama Hospitals to Pay U.S. Over $8 Million to Settle False Claims Act Allegations

By Frank Sheeder on Posted in Settlements

As anticipated, more hospitals have gotten caught up in allegations relating to Kyphoplasties being done as inpatient procedures and not in an outpatient setting.  Something that hospital compliance professionals should check.  There is a specific code for Kyphoplasties and the vendor in question was Kyphon, so it can be pretty easy to check and see… Continue Reading