<?xml version="1.0" encoding="UTF-8"?>
<rss version="2.0"
	xmlns:content="http://purl.org/rss/1.0/modules/content/"
	xmlns:wfw="http://wellformedweb.org/CommentAPI/"
	xmlns:dc="http://purl.org/dc/elements/1.1/"
	xmlns:atom="http://www.w3.org/2005/Atom"
	xmlns:sy="http://purl.org/rss/1.0/modules/syndication/"
	xmlns:slash="http://purl.org/rss/1.0/modules/slash/"
	>

<channel>
	<title>von Briesen Health Law Blog &#187; Fraud and Abuse</title>
	<atom:link href="http://blog.vonbriesenhealth.com/category/fraud-and-abuse/feed/" rel="self" type="application/rss+xml" />
	<link>http://blog.vonbriesenhealth.com</link>
	<description></description>
	<lastBuildDate>Tue, 31 Aug 2010 23:50:11 +0000</lastBuildDate>
	<generator>http://wordpress.org/?v=2.8</generator>
	<language>en</language>
	<sy:updatePeriod>hourly</sy:updatePeriod>
	<sy:updateFrequency>1</sy:updateFrequency>
			<item>
		<title>The OIG Has Published Another Advisory Opinion on Free Pre-Authorization Services</title>
		<link>http://blog.vonbriesenhealth.com/2010/08/31/the-oig-has-published-another-advisory-opinion-on-free-pre-authorization-services/</link>
		<comments>http://blog.vonbriesenhealth.com/2010/08/31/the-oig-has-published-another-advisory-opinion-on-free-pre-authorization-services/#comments</comments>
		<pubDate>Tue, 31 Aug 2010 23:50:11 +0000</pubDate>
		<dc:creator>Scott Thill</dc:creator>
				<category><![CDATA[Fraud and Abuse]]></category>
		<category><![CDATA[Hospital and Physician Relationships]]></category>
		<category><![CDATA[Medicare/Medicaid Compliance]]></category>

		<guid isPermaLink="false">http://blog.vonbriesenhealth.com/?p=921</guid>
		<description><![CDATA[On August 31, 2010, the Office of the Inspector General (“OIG”) issued Advisory Opinion 10-13 which allows a hospital to provide free pre-authorization servicesfor all patients referred to it for imaging services.  The hospital seeking the advisory opinion indicates in its proposal that hospital personnel responsible for obtaining the pre-authorization required from insurers would contact [...]]]></description>
		<wfw:commentRss>http://blog.vonbriesenhealth.com/2010/08/31/the-oig-has-published-another-advisory-opinion-on-free-pre-authorization-services/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>The FTC Once Again Delays Enforcement of the Red Flags Rule</title>
		<link>http://blog.vonbriesenhealth.com/2010/05/28/the-ftc-once-again-delays-enforcement-of-the-red-flags-rule/</link>
		<comments>http://blog.vonbriesenhealth.com/2010/05/28/the-ftc-once-again-delays-enforcement-of-the-red-flags-rule/#comments</comments>
		<pubDate>Fri, 28 May 2010 21:45:21 +0000</pubDate>
		<dc:creator>Scott Thill</dc:creator>
				<category><![CDATA[Billing and Payment]]></category>
		<category><![CDATA[Fraud and Abuse]]></category>

		<guid isPermaLink="false">http://blog.vonbriesenhealth.com/?p=807</guid>
		<description><![CDATA[The Federal Trade Commission announced on May 28, 2010 that it will further delay enforcement of the identity theft “Red Flags” Rule through December 31, 2010.  The Rule requires creditors and financial institutions that have certain accounts to develop and implement written identity theft prevention programs.  The delay gives Congress time to consider legislation that [...]]]></description>
		<wfw:commentRss>http://blog.vonbriesenhealth.com/2010/05/28/the-ftc-once-again-delays-enforcement-of-the-red-flags-rule/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>The OIG Publishes an Advisory Opinion on Free Pre-authorization Services</title>
		<link>http://blog.vonbriesenhealth.com/2010/05/10/the-oig-publishes-an-advisory-opinion-on-free-pre-authorization-services/</link>
		<comments>http://blog.vonbriesenhealth.com/2010/05/10/the-oig-publishes-an-advisory-opinion-on-free-pre-authorization-services/#comments</comments>
		<pubDate>Mon, 10 May 2010 19:36:02 +0000</pubDate>
		<dc:creator>Scott Thill</dc:creator>
				<category><![CDATA[Fraud and Abuse]]></category>
		<category><![CDATA[Hospital and Physician Relationships]]></category>

		<guid isPermaLink="false">http://blog.vonbriesenhealth.com/?p=777</guid>
		<description><![CDATA[The OIG recently published an advisory opinion relating to a proposal for several diagnostic imaging service providers (a clinic and a medical center) to provide free pre-authorization services to physicians and patients.  Many insurers require  pre-authorization for imaging services.  This is a measure intended to prevent over utilization.  In the proposed arrangement, the imaging providers [...]]]></description>
		<wfw:commentRss>http://blog.vonbriesenhealth.com/2010/05/10/the-oig-publishes-an-advisory-opinion-on-free-pre-authorization-services/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Stark, False Claims Violations Cost Millions</title>
		<link>http://blog.vonbriesenhealth.com/2010/04/22/stark-false-claims-violations-cost-millions/</link>
		<comments>http://blog.vonbriesenhealth.com/2010/04/22/stark-false-claims-violations-cost-millions/#comments</comments>
		<pubDate>Thu, 22 Apr 2010 21:06:46 +0000</pubDate>
		<dc:creator>David Edquist</dc:creator>
				<category><![CDATA[Fraud and Abuse]]></category>
		<category><![CDATA[Hospital and Physician Relationships]]></category>

		<guid isPermaLink="false">http://blog.vonbriesenhealth.com/2010/04/22/stark-false-claims-violations-cost-millions/</guid>
		<description><![CDATA[Two recent cases demonstrate the consequences of hospital-physician financial relationships that do not comply with Stark.
The first involved a qui tam case against Rush University Medical Center in Chicago. A former Rush employee and a member of Rush&#8217;s medical staff blew the whistle on certain medical office leases, calling into question various rent concessions, lack [...]]]></description>
		<wfw:commentRss>http://blog.vonbriesenhealth.com/2010/04/22/stark-false-claims-violations-cost-millions/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>DOJ Announces New Target – Medically Unnecessary Admissions for Chest Pain</title>
		<link>http://blog.vonbriesenhealth.com/2010/03/23/doj-announces-new-target-%e2%80%93-medically-unnecessary-admissions-for-chest-pain/</link>
		<comments>http://blog.vonbriesenhealth.com/2010/03/23/doj-announces-new-target-%e2%80%93-medically-unnecessary-admissions-for-chest-pain/#comments</comments>
		<pubDate>Tue, 23 Mar 2010 18:05:58 +0000</pubDate>
		<dc:creator>Michelle Frazier</dc:creator>
				<category><![CDATA[Billing and Payment]]></category>
		<category><![CDATA[Fraud and Abuse]]></category>

		<guid isPermaLink="false">http://blog.vonbriesenhealth.com/?p=705</guid>
		<description><![CDATA[The U.S. Department of Justice’s office in the Western District of New York is reviewing potentially medically unnecessary inpatient admissions for chest pain.  The issue initially was identified by the ZPIC for New York state and referred to the MAC.  The DOJ is basing its investigation on results of the MAC audits, including unnecessary admissions [...]]]></description>
		<wfw:commentRss>http://blog.vonbriesenhealth.com/2010/03/23/doj-announces-new-target-%e2%80%93-medically-unnecessary-admissions-for-chest-pain/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>National Summit on Health Care Fraud &#8211; Webcast</title>
		<link>http://blog.vonbriesenhealth.com/2010/01/28/national-summit-on-health-care-fraud-webcast/</link>
		<comments>http://blog.vonbriesenhealth.com/2010/01/28/national-summit-on-health-care-fraud-webcast/#comments</comments>
		<pubDate>Thu, 28 Jan 2010 14:12:46 +0000</pubDate>
		<dc:creator>von Briesen</dc:creator>
				<category><![CDATA[Fraud and Abuse]]></category>
		<category><![CDATA[Medicare/Medicaid Compliance]]></category>

		<guid isPermaLink="false">http://blog.vonbriesenhealth.com/?p=643</guid>
		<description><![CDATA[The National Summit on Health Care Fraud webcast. 
Thursday, January 28, 2010 from 8:45 a.m. &#8211; 4:00 p.m. (CST)
]]></description>
		<wfw:commentRss>http://blog.vonbriesenhealth.com/2010/01/28/national-summit-on-health-care-fraud-webcast/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>City of Angels Executives No Angels</title>
		<link>http://blog.vonbriesenhealth.com/2010/01/26/city-of-angels-executives-no-angels/</link>
		<comments>http://blog.vonbriesenhealth.com/2010/01/26/city-of-angels-executives-no-angels/#comments</comments>
		<pubDate>Tue, 26 Jan 2010 15:45:18 +0000</pubDate>
		<dc:creator>Michelle Frazier</dc:creator>
				<category><![CDATA[Fraud and Abuse]]></category>
		<category><![CDATA[Medicare/Medicaid Compliance]]></category>

		<guid isPermaLink="false">http://blog.vonbriesenhealth.com/?p=640</guid>
		<description><![CDATA[The U.S. Attorney recently settled its case against the former owners of a Los Angeles Medical Center.  The former executives have agreed to pay over $10 million for paying kickbacks to recruiters to bring homeless people to the hospital facility for unnecessary medical services.   View the U.S. Attorney’s statement related to this case.
]]></description>
		<wfw:commentRss>http://blog.vonbriesenhealth.com/2010/01/26/city-of-angels-executives-no-angels/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>The OIG Issues an Updated Special Fraud Alert on DME Telemarketing</title>
		<link>http://blog.vonbriesenhealth.com/2010/01/14/the-oig-issues-an-updated-special-fraud-alert-on-dme-telemarketing/</link>
		<comments>http://blog.vonbriesenhealth.com/2010/01/14/the-oig-issues-an-updated-special-fraud-alert-on-dme-telemarketing/#comments</comments>
		<pubDate>Fri, 15 Jan 2010 01:00:34 +0000</pubDate>
		<dc:creator>Scott Thill</dc:creator>
				<category><![CDATA[Fraud and Abuse]]></category>
		<category><![CDATA[Medicare/Medicaid Compliance]]></category>

		<guid isPermaLink="false">http://blog.vonbriesenhealth.com/?p=620</guid>
		<description><![CDATA[The OIG has issued an updated Special Fraud Alert on telemarketing by DME suppliers.  The updated Alert was apparently issued in light of information that some DME suppliers continue to use marketing firms to place unsolicited telephone calls to Medicare beneficiaries.  The original alert was published in March 2003. 
The Alert reminds DME suppliers that federal [...]]]></description>
		<wfw:commentRss>http://blog.vonbriesenhealth.com/2010/01/14/the-oig-issues-an-updated-special-fraud-alert-on-dme-telemarketing/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Minnesota CAH Settles False Claims Act Allegations for Almost One Million Dollars</title>
		<link>http://blog.vonbriesenhealth.com/2010/01/11/minnesota-cah-settles-false-claims-act-allegations-for-almost-one-million-dollars/</link>
		<comments>http://blog.vonbriesenhealth.com/2010/01/11/minnesota-cah-settles-false-claims-act-allegations-for-almost-one-million-dollars/#comments</comments>
		<pubDate>Mon, 11 Jan 2010 20:21:04 +0000</pubDate>
		<dc:creator>Whitney Vallier</dc:creator>
				<category><![CDATA[Billing and Payment]]></category>
		<category><![CDATA[Fraud and Abuse]]></category>
		<category><![CDATA[Medicare/Medicaid Compliance]]></category>

		<guid isPermaLink="false">http://blog.vonbriesenhealth.com/?p=601</guid>
		<description><![CDATA[The Justice Department recently announced a $846,461 settlement by a Minnesota critical access hospital and one of its physician’s to settle False Claims Act allegations.  A former doctor at the critical access hospital filed a qui tam (“whistleblower”) action alleging that the physician admitted patients that did not need to be admitted, or kept other [...]]]></description>
		<wfw:commentRss>http://blog.vonbriesenhealth.com/2010/01/11/minnesota-cah-settles-false-claims-act-allegations-for-almost-one-million-dollars/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>CMS Continues to Tinker with Stark</title>
		<link>http://blog.vonbriesenhealth.com/2009/11/12/cms-continues-to-tinker-with-stark/</link>
		<comments>http://blog.vonbriesenhealth.com/2009/11/12/cms-continues-to-tinker-with-stark/#comments</comments>
		<pubDate>Thu, 12 Nov 2009 16:47:41 +0000</pubDate>
		<dc:creator>David Edquist</dc:creator>
				<category><![CDATA[Fraud and Abuse]]></category>

		<guid isPermaLink="false">http://blog.vonbriesenhealth.com/?p=525</guid>
		<description><![CDATA[If you just don’t get Stark, you’re not alone.  Recognizing that even a simple question like “Who must sign an agreement?” continues to defy a simple answer, CMS has issued a clarification to its Phase III “stand in the shoes” doctrine that it is only necessary for a single authorized representative of a physician organization [...]]]></description>
		<wfw:commentRss>http://blog.vonbriesenhealth.com/2009/11/12/cms-continues-to-tinker-with-stark/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
	</channel>
</rss>
