If you receive a letter from the Health Integrity or Office of Inspector General in Texas regarding the overpayment of Medicare claims from your practice, you may wonder what you can do to avoid penalties. Even though you may feel embarrassed, confused or worried about the situation, it is important you make your specific circumstances top priority.
In mid-January, the Centers for Medicare & Medicaid Services published a home health agency final rule outlining new minimum standards for home health agencies participating in Medicare and Medicaid.
Another doctor has been convicted for playing a part in a multi-million-dollar Medicare fraud scheme. The guilty verdict shows that even being "extremely naïve" is not a valid defense to Medicaid fraud charges.
In recent years, federal authorities have been making an effort to prevent fraud, waste and abuse within the Medicare and Medicaid programs. As a result, health care businesses of all types and sizes are being accused of overpayments.
If you work in the health care industry, then you are probably familiar with the federal Anti-Kickback Statute, which is a federal regulation that prohibits the exchange (or offer of exchange) of any type of gift or payment in an effort to reward or induce referrals for federal health care program business.