Sean M. Weiss - DoctorsManagement

Jul 24 2020

Love21

It’s Official: COVID-19 Public Health Emergency Extended

By GRANT 2020, Regulatory Compliance, Sean Weiss

It's Official: COVID-19 Public Health Emergency Extended July 24, 2020 by Sean Weiss, Partner & VP of Compliance HHS has made it official: The COVID-19 Public Health Emergency (PHE) declaration is now extended by another 90 days, as stipulated under the Public Health Service Act (PSA). It's no surprise, as the COVID-19 case count in...

Read More

Jul 23 2020

Love21

CMS to Extend COVID’s Public Health Emergency Status

By GRANT 2020, Regulatory Compliance, Sean Weiss

CMS to Extend COVID's Public Health Emergency Status July 23, 2020 by Sean Weiss, Partner & VP of Compliance The official declaration of the COVID-19 pandemic as a Public Health Emergency (PHE) is due to expire this Saturday, July 25, which means that all of the associated regulatory waivers and flexibilities will expire unless the...

Read More

Jul 20 2020

Love21

Got Compliance? CMS to Resume Audit Programs on Aug. 3

By GRANT 2020, Regulatory Compliance, Sean Weiss

Got Compliance? CMS to Resume Audit Programs on Aug. 3 July 20, 2020 by Sean Weiss, Partner & VP of Compliance I have not posted for some time, largely because the flow of information from the federal government and commercial payers has slowed to a drip. But now things are heating up: CMS is poised...

Read More

Jul 08 2020

Love21

Charges in Health Insurance Fraud Scheme

By Karen 2020, Regulatory Compliance, Sean Weiss

Charges in Health Insurance Fraud Scheme July 8, 2020 by Sean Weiss, Partner & VP of Compliance Once again, a physician and his associate(s) believed they were smarter than the governmental investigators only to be shown they were not. In this case, a Beverly Hills Surgeon and his Girlfriend have been charged with stealing nearly...

Read More

Jul 07 2020

Love21

Anthem Owes $7 Million for Anti-Wrapping Rules

By Karen 2020, Regulatory Compliance, Sean Weiss

Anthem Owes $7 Million For Anti-Wrapping Rules July 7, 2020 by Sean Weiss, Partner & VP of Compliance Bloomberg Law reports that a California state appeals court ruled that Anthem Blue Cross Life and Health Insurance Co. owes $7 million for “bullying insurance brokers into a boycott of Ben-E-Lect, a ‘wrapping’ company that makes high-deductible...

Read More

Jul 06 2020

Love21

Government Reaches Settlement in Healthcare Fraud Matter

By Karen 2020, Regulatory Compliance, Sean Weiss

Government Reaches $1 Million Settlement in Healthcare Fraud Matter July 6, 2020 by Sean Weiss, Partner & VP of Compliance HHS/OIG released another settlement related to healthcare Fraud! This is a $1 Million settlement for a solo provider in San Juan, Puerto Rico. The Consent Judgment alleges the defendants submitted false claims to Medicare when...

Read More

Jun 17 2020

Love21

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...

Read More

Jun 12 2020

Love21

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...

Read More

Jun 08 2020

Love21

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...

Read More

Jun 05 2020

Love21

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...

Read More

1 2 3 … 11 Next »