Regulatory Compliance Archives

Jun 17 2020

Medicaid Fraud Scheme Sentencing

By Karen 2020, Regulatory Compliance, Sean Weiss

Sentencing in Medicaid Fraud Scheme June 17, 2020 by Sean Weiss, Partner & VP of Compliance Tuesday, June 16, 2020, the last of six defendants was sentenced in a scheme to defraud Medicaid out of millions of dollars! The defendants were sentenced for crimes related to a health care fraud conspiracy in which Medicaid was...

Jun 12 2020

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Telehealth Services Update

By Karen 2020, Regulatory Compliance, Sean Weiss

Telehealth Services - Audits and a new Enforcement Action June 12, 2020 by Sean Weiss, Partner & VP of Compliance The Office of the Inspector General (OIG) posted a new Enforcement Action on June 11, 2020 regarding a Florida man charged in a telemedicine scheme - Defendant is 26th charged in telemedicine conspiracy in Southern...

Jun 08 2020

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2 Interesting OIG Reports

By Karen 2020, Regulatory Compliance, Sean Weiss

2 Interesting OIG Reports: Auditing Telemedicine Services, Medicare Hospital Provider Compliance Audits June 8, 2020 by Sean Weiss, Partner & VP of Compliance The OIG posted two new interesting Audit Reports. The first was posted June 3, 2020 addresses the OIG's role in Auditing Telemedicine Services. As I stated when the pandemic began, given the...

Jun 05 2020

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New Law Gives PPP Borrowers More Breathing Room

By GRANT 2020, Regulatory Compliance, Sean Weiss

New Law Gives PPP Borrowers More Breathing Room June 5, 2020 by Sean Weiss, Partner & VP of Compliance The U.S. Senate passed a bill that modifies the Small Business Administration’s Paycheck Protection Program (PPP) as part of its ongoing relief efforts during the COVID-19 Public Health Emergency (PHE), granting significant new flexibilities to all...

Jun 03 2020

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Want a Good Compliance Program? DOJ Offers Updated Guidance

By GRANT 2020, Regulatory Compliance, Sean Weiss

Want a Good Compliance Program? DOJ Offers Updated Guidance June 2, 2020 by Sean Weiss, Partner & VP of Compliance We have all read or heard stories from a colleague/friend at a health system or physician group practice going through the nightmare that is a Department of Justice (DOJ) investigation; some of us have personally...

Apr 21 2020

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Dems and Trump Reach Deal on $484 Billion Relief Bill; ‘Phase 4’ to Follow

By GRANT 2020, Practice Operations, Regulatory Compliance, Sean Weiss

Dems and Trump Reach Deal on $484 Billion Relief Bill; ‘Phase 4’ to Follow April 21, 2020 by Sean Weiss, Partner & VP of Compliance Democrats in the Senate now have a mutual understanding with the White House on the bill to refuel the now-empty fund for small businesses that was established by the earlier...

Apr 21 2020

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Some Strings Attached: CMS COVID-19 Grants

By GRANT 2020, Practice Operations, Regulatory Compliance, Sean Weiss

Some Strings Attached: Be Careful with COVID-19 Grants April 21, 2020 by Sean Weiss, Partner & VP of Compliance When CMS Administrator Seema Verma assured providers that they could accept federal COVID-19 grant money with “no strings attached,” she might have been better advised to add an asterisk and a disclaimer. A closer look at...

Apr 21 2020

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Bill Adding $460 Billion to PPP Nears Passage; Take Action Now!

By GRANT 2020, Practice Operations, Regulatory Compliance, Sean Weiss

Bill Adding $460 Billion to PPP Nears Passage; Take Action Now! April 21, 2020 by Sean Weiss, Partner & VP of Compliance Lawmakers in the U.S. Senate have reached a deal that would, among other things, replenish funding of the Paycheck Protection Program (PPP) to the tune of another $460 billion, most of which will...

Apr 20 2020

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CMS Offers Guidelines to Re-open Healthcare in Select Areas

By Karen 2020, Regulatory Compliance, Sean Weiss

CMS Offers Guidelines to Re-open Healthcare in Select Areas April 20, 2020 by Sean Weiss, Partner & VP of Compliance If your area has a low incidence of COVID-19, CMS says you can consider reopening your practice to resume caring for patients who need procedures, chronic disease management, and even preventive care. The agency has...

Apr 17 2020

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Changes in OON Billing and Guidance on the HHS Terms and Conditions

By Karen 2020, Regulatory Compliance, Sean Weiss

Changes in OON Billing and Guidance on the HHS Terms and Conditions April 17, 2020 by Sean Weiss, Partner & VP of Compliance Amanda Waesch, ESQ of Brenna Manna Diamond,LLC (BMD), produced two very good blog posts yesterday on OON Billing and the HHS Terms and Conditions that are both quick but very good reads...

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Medicaid Fraud Scheme Sentencing

Telehealth Services Update

2 Interesting OIG Reports

New Law Gives PPP Borrowers More Breathing Room

Want a Good Compliance Program? DOJ Offers Updated Guidance

Dems and Trump Reach Deal on $484 Billion Relief Bill; ‘Phase 4’ to Follow

Some Strings Attached: CMS COVID-19 Grants

Bill Adding $460 Billion to PPP Nears Passage; Take Action Now!

CMS Offers Guidelines to Re-open Healthcare in Select Areas

Changes in OON Billing and Guidance on the HHS Terms and Conditions

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