Government agencies and commercial insurance carriers have grown increasingly aggressive when it comes to the investigation of non-compliance and suspected waste, fraud, and abuse. In civil and administrative cases, providers are frequently targeted for violations that include the following:

  • Filing false claims.
  • Failing to adequately safeguard confidential patient information.
  • Referring certain types of services to an entity, such as a lab or a home health agency, in which the physician has a financial interest.
  • Maintaining relationships where things of value, whether in cash or in kind, are exchanged for the purposes of inducing referrals.

Robust and effective compliance plans are critical for providers now more than ever. Providers should be proactive when it comes to regulatory compliance, whether that means properly compensating your medical director, appropriately structuring a proposed business arrangement, returning an identified overpayment to the government, or effectively protecting your patients’ protected health information (PHI).

About Our Healthcare Compliance Attorneys

Our healthcare attorneys understand the regulatory challenges that providers face on a day-to-day basis. We can help you remain compliant with applicable laws, rules, and regulations. For providers who have identified a concern, our attorneys possess the skills and knowledge to mitigate the effects of regulatory non-compliance to enable you to get back to focusing on your patients. Regardless of whether you have a specific question or are interested in becoming more proactive about compliance, contact us today for a free consultation.

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