by Elizabeth E. Hogue, Esq. | Sep 20, 2024 | Admin, Regulatory
by Elizabeth E. Hogue, Esq. Bring on the Fraud Enforcers We Have Nothing to Hide! Oh, but you do! Statements like this from providers are cringe-worthy. If you have said it before, please don’t ever say it again. Here’s why: First, many providers think that when fraud...
by Kristin Rowan | Sep 20, 2024 | CMS, Medicare Advantage, Regulatory
by Kristin Rowan, Editor Essentia Drops Medicare Advantage Essentia Health is an integrated health system with locations in Minnesota, North Dakota and Wisconsin. The health system offers 285 different services across more than 1,700 locations. They employ more than...
by Elizabeth E. Hogue, Esq. | Sep 12, 2024 | Admin, Clinical, Regulatory
by Elizabeth E. Hogue, Esq. What to do About Noncompete Agreements The Federal Trade Commission (FTC) published a final rule earlier this year that banned noncompete agreements. The final rule was effective on September 4, 2024. Requirements of the rule included: A...
by Kristin Rowan | Sep 12, 2024 | Admin, CMS, Hospice, Regulatory
by Kristin Rowan, Editor CMS Oversight in Fraud-Ridden States In 2023, The Centers for Medicare and Medicaid Services (CMS) cited research suggesting that hospices profit from fraud far too often. CMS has identified cases of hospices certifying benficiaries who are...
by Kristin Rowan | Sep 12, 2024 | Advocacy, Breaking News, Regulatory
by Kristin Rowan, Editor The Alliance Since the announcement that the National Hospice and Palliative Care Organization and the National Association for Home Care and Hospice would merge, the default name for the combined entities has been “The Alliance.”...
by Kristin Rowan | Aug 23, 2024 | Regulatory
by Kristin Rowan, Editor False Claims Act Violations According to allegations in U.S. es rel. Jones v Intrepid U.S.A. Healthcare Inc. and U.S. es rel. Rigney v Intrepid U.S.A. Inc., Intrepid U.S.A. Inc. (Intrepid) violated the False Claims Act multiple times over five...