Representative John Adler’s proposed Red Flags exceptions–H.R. 3763–passed in the House on October 23. Passing with a 400-0 vote, the bill exempts small businesses with 20 or fewer employees that meet certain requirements. The bill will next be sent to the Senate for vote. Notwithstanding this legislation, the Red Flags…
Representative John Adler introduced H.R. 3763 on October 8 to amend the definition of “creditor” in the Fair Credit Reporting Act to reflect the following exclusions: (A) a health care practice with 20 or fewer employees; (B) an accounting practice with 20 or fewer employees; (C) a legal practice with…
Arizona Heart Hospital agreed to settle with the Department of Health and Human Services (HHS) and the Office of Inspector General (OIG) for $675,000 for 10 instances of filing false claims with Medicare. According to the OIG and HHS, between July 2005 and March 2007, physicians at Arizona Heart Hospital…
OIG recommends revision of the “incident to” rule. The Office of Inspector General (OIG) released a report, “Prevalence and Qualifications of Nonphysicians Who Performed Medicare Physician Services” analyzing services that nonphysicians perform for which physicians bill Medicare. The “incident to” rule involves physicians billing for nonphysician-rendered services that are compensated…
FTC postponed Red Flags. As many entities have been scrambling to get their anti-identity theft programs in place by August 1, the Federal Trade Commission (FTC) announced that it would be pushing back enforcement of the Red Flags Rule until November 1. The purpose of this is to continue to…
The August 1st Red Flags start date is quickly approaching and many creditors (yes, that means you, doctors) are preparing themselves for the new regulations. For those entities that have not drawn up their Red Flags programs yet, there is still time and the Federal Trade Commission (FTC) has provided…
If you’re a physician, the Centers for Medicare and Medicaid Services (CMS) Proposed Physician Fee Schedule for 2010 affects you. As a matter of fact, according to the proposed rule, Medicare will cut spending on physician services by 21.5% beginning in January 2010. The finalized fee schedule will be released…
An Office of Inspector General (OIG) Advisory Opinion, OIG Advisory Opinion No. 09-06, was released addressing the issue of whether or not “expanding an existing program that provides free oral nutritional supplements to malnourished end-stage renal disease patients who are on dialysis” would violate the civil monetary penalty provision or…
An Office of Inspector General (OIG) Advisory Opinion, OIG Advisory Opinion No. 09-06, was released addressing the issue of whether or not “an existing arrangement in which a hospital has agreed to share with a cardiology group, a vascular surgical group, and an interventional radiology group a percentage of the…
On Wednesday, the New York State Register published the new rules surrounding the New York Office of Medicaid Inspector General (“OMIG”) final rule on mandatory compliance programs, which enumerates specifics including who must comply and how to comply. The rules have also been published in the New York Code, Rules,…