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Medical Coding Billing & Compliance News

compiled by Team eduTrax

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False Claims Act Statute of Limitations Upheld
Written by Team eduTrax   
Friday, 14 May 2010 00:00

Summary Judgement Bars Prosecution of Former Compliance Officer

A hospital system’s corporate integrity agreement (CIA) officer and in-house counsel successfully argued that the statute of limitations barred a False Claims Act (FCA) complaint against her, according a ruling filed by U.S. District Court for the Southern District of Florida (Court), dated April 16, 2010.

Last Updated on Friday, 14 May 2010 21:45
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HHS/DOJ Joint New Conference on Healthcare Fraud, Waste and Abuse
Written by Team eduTrax   
Friday, 14 May 2010 00:00

The Affordable Care Act Helps Fight Fraud

HHS Secretary Sebelius, Inspector General Daniel Levinson & Attorney General Eric Holder released a new report on Medicare fraud prevention and discussed the Obama Administrations new efforts to fight fraud using new tools provided by the Affordable Care Act. The HHS video recording of the event is available at eduTrax.

Last Updated on Tuesday, 18 May 2010 13:39
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Federal Sentencing Commission Defines "Effective Compliance Program"
Written by Team eduTrax   
Tuesday, 11 May 2010 00:00

Compliance Officers Should Have Direct Access to Board of Directors

The Federal Sentencing Commission defined an “effective compliance and ethics program,” in changes to their Federal Sentencing Guidelines (Section 8B2.1), as published in the Federal Register on April 29. The proposed changes take effect Nov. 1, unless Congress moves to block them...

Last Updated on Saturday, 22 May 2010 21:46
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RAC 101 - The Movie
Written by Team eduTrax   
Thursday, 29 April 2010 00:00

RAC 101 Video Posted by CMS

CMS posted a recording of a RAC 101 seminar conducted by Connie Leonard and Commander Marie Casey, earlier in April. The video includes a short Q&A period at the end.

Last Updated on Thursday, 29 April 2010 18:32
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Region C RAC Adds More Issues
Written by Team eduTrax   
Monday, 26 April 2010 00:00

Connolly Adds 20 New Issues

Virginia, West Virginia Added to States Affected in Already Approved Issues

Connolly Healthcare, the RAC for Region C, posted 20 new DRG Validation Issues to their list of CMS-Approved audit issues, on Friday, April16. The new issues include eight (8) MS-DRGs with very high Relative Weights (which equates to high dollar reimbursements and thereby potentially high RAC fees).

Last Updated on Monday, 26 April 2010 17:09
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