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$24 Billion and Growing...

Medical Necessity and the Law

The U.S. Department of Justice (DOJ) reports on its website that the government has recovered over $24 billion from healthcare providers through False Claims Act cases since 2009.  Make sure you, your vendors or your healthcare provider clients don’t become an enforcement target.  Review documentation and double check Medicare Triple Check processes for accurate billing practices vis-à-vis services rendered.  

"Healthcare fraud is a top priority for the FBI and we will continue to work closely with federal, state, and local law enforcement partners to address vulnerabilities, fraud and abuse in the healthcare industry."

  - Andrew G. McCabe, Assistant Director in Charge, FBI's Washington Field Office

Visit the DOJ website to read about how one of the nation’s largest healthcare providers, ManorCare, ended up a defendant in a False Claims Act lawsuit for allegedly providing medically unnecessary therapy. 
To learn how we helped a long term care provider when its outsourced provider of rehabilitation services was investigated by the DOJ and Office of Inspector General (OIG) for alleged Medicare fraud, please visit our website.

Compliagent's Headline News

Nicholas Merkin, CEO, will be co-presenting “Don’t Become a HIPAA Headline! What You Need to Know to Avoid a Breach, Mitigate Your Risk, and Manage Your Response” at The International Association of Privacy Professionals (IAPP) KnowledgeNet. Visit IAPP to attend the event.   

Paige Pennington, COO, was a panelist presenting “Women in Healthcare” at The Buddy System event hosted by Montclair Royale Assisted Living in Montclair, CA.

“What the OIG’s New Compliance Guidance Means for Health-Care Organizations’ Boards of Directors” by Nicholas Merkin, CEO, published in Bloomberg BNA’s Health Care Fraud Report.

“Creating a ‘Just Culture’” by Kathleen Mace, Clinical Consultant, published in McKnight’s Long-Term Care News.

Nicholas Merkin, CEO, was cited extensively in “Successful ICD-10 Implementation Starts with a Process” by Ed Rabinowitz in Physician’s Money Digest.

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We are pleased to direct you to visit our new Compliagent website.

  • Take a moment to complete our complimentary Compliance Self-Assessment to determine whether your organization may be at risk of regulatory non-compliance.
  • Visit Compliance News often for updates on industry issues and concerns. 
  • Learn about our work by reviewing our recent Case Studies
  • Meet our experienced Team
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