$611,250 Paid By Physician Group – They Had No Regulatory Compliance Coverage

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May 24th, 2011

This group paid $611,250 to resolve their liability under the Civil Monetary Penalties (CMP) applicable to kickbacks and physicians self-referrals. They did not have regulatory insurance and were responsible for the entire fine. More Civil Monetary Penalty Claims For more information about Regulatory Compliance Insurance, contact knowledgebroker Carla Borda at 262-953-7138. Carla Borda is R&R Insurance’s» Read Full Article

New Jersey Physician Absorbs Full Cost of Claim

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May 23rd, 2011

A Fairfield, New Jersey physician (now retired) paid $40,000 to resolve his liability under the Civil Monetary penalties provisions applicable to false claims and kickbacks. He did not have regulatory insurance and had to absorb the full cost. More Civil Monetary Penalty Claims For more information about Civil Monetary penalties or Regulatory Compliance Insurance, contact» Read Full Article

Accountable Care Organizations: From Theory to Practice

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May 17th, 2011

Accountable Care Organizations, or ACOs, are certainly the buzz word in healthcare.  If you are a healthcare provider and serve at least 5000 medicare patients, you are either thinking about, talking about, or considering joining an ACO.  In preparing for a recent presentation at the WMGMA on this topic, I had to wonder how this» Read Full Article

Hot Off The RAC! Free Seminar on CMS RAC Program

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April 21st, 2011

CMS estimates that $35 billion/yr is paid erroneously. If you bill for fee-for-service programs, your claims will be subject to review by RACs. This free seminar will address the risk management issues involved with the program and ways to protect your organization from huge financial loss. Free Seminar – Off The Rac: This is only» Read Full Article