decisionhealth Newsletters, Part B News - 2018 Issue 2 (February)
Scripps settles unqualified personnel suit for $1.5 million.
Subscribe or sign in to view the full article.
Article Overview
This article summarizes a Department of Justice settlement involving a hospital system and allegations under the False Claims Act tied to billing federal health care programs for therapy services furnished under supervision and credentialing concerns. It is relevant to compliance, audit, and billing staff who monitor supervision requirements, incident-to concepts, and staff reporting of potential coding or billing problems. The piece provides a short news update with reminders about compliance oversight and references to the agencies and programs involved.
Why This Topic Matters
It highlights a compliance and billing risk area for providers who submit claims to federal programs, especially when service supervision and provider privileges are in question.
What You Will Learn
- The general compliance issue described in the settlement announcement
- Why supervision and billing-privilege concerns can create claims exposure
- The role of internal reporting when staff identify possible compliance problems
- Which federal programs and enforcement entities are mentioned in the report
Who Should Read This
- Medical billing professionals
- Coding and compliance staff
- Practice managers
- Revenue cycle leaders
- Healthcare administrators
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com