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G-2 Compliance Report is the monthly newsletter designed to guide hospital, lab, and pathology professionals in developing, implementing and revising compliance programs to meet federal standards.
In every issue, you’ll get practical advice and information you need to:
- Stay on top of fast-changing federal mandates Structure business arrangements to prevent fines
- Reduce exposure to whistleblower lawsuits
- Maintain public trust and thwart negative publicity
With the continued emphasis on healthcare fraud by the Justice Department and HHS Office of Inspector General —and record-setting fines and settlements—don’t take the risk of being caught unprepared for an investigation and audit.
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 | GCR June 2009 (full PDF issue) |
| Quest to pay $302 million in settlement
Medicare contractors expected to make criminal referrals to DOJ
Finance committee leaders propose new enforcement activities
Budget proposal includes increase for fraud fighting: see Perspectives
Groups urge regulatory framework for personalized medicine
OIG: Medicaid programs improperly spent money on lab services
News in brief
Full Article |
| Medicare Program Integrity Contractors Expected to Make Criminal Referrals to DOJ |
| New Medicare program integrity contractors are expected to generate criminal referrals to the Department of Justice (DOJ), as well as identify vulnerabilities that will be remedied at the administrative level, officials from the DOJ and the Centers for Medicare & Medicaid Services (CMS) said April 28 at a conference of health care compliance professionals.
Full Article |
| Quest to Pay $302 Million in Settlement |
| In one of the largest recoveries in a case involving a medical device, Quest Diagnostics Inc. (Teterboro, N.J.) has agreed to pay $302 million to the government to resolve charges that its subsidiary, Nichols Institute Diagnostics (NID), sold misbranded test kits and fraudulently billed Medicare, Medicaid, and other federal health programs, according to the Department of Justice (DOJ).
Full Article |
| Finance Committee Leaders Propose Program Integrity, Enforcement Activities |
| New health care reform proposals from Senate Finance Committee Chairman Max Baucus (D-Mont.) and committee ranking member Chuck Grassley (R-Iowa) would require Medicare and Medicaid providers to adopt compliance programs and would increase penalties for fraud against the federal health care programs as part of broad changes to ramp up program integrity efforts.
Full Article |
| Budget Proposal Includes Increase for Fraud Fighting |
| President Obama’s detailed budget proposal for fiscal year 2010, submitted to Congress on May 7, would boost funding for the Department of Health and Human Services to $879 billion and includes an additional $311 million in funds for eliminating fraud and abuse in federal health care programs.
Full Article |
| Groups Urge Regulatory Framework for Personalized Medicine |
| To advance personalized medicine, Health and Human Services Secretary Kathleen Sebelius will need to create and implement a reasonable and responsible regulatory framework for genetic tests and other advanced medical diagnostics, according to a recent letter to Sebelius from research and patient advocacy organizations.
Full Article |
| OIG: Medicaid Programs Improperly Spent Money on Lab Services |
| Medicaid programs in eight of 11 states examined by the Department of Health and Human Services Office of Inspector General (OIG) spent $1.3 million in fiscal years 2005 and 2006 on potentially improper payments for outpatient clinical diagnostic laboratory services for Medicare beneficiaries who are also entitled to some Medicaid benefits, the OIG said in a report released April 10.
Full Article |
| News in Brief (0906) |
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Dubious Distinction: Florida lawmakers April 29 approved Medicaid anti-fraud bills (S.B. 2658, S.B. 1986) that would designate Miami-Dade County as a “health care fraud area of special concern” and provide new licensure requirements for home health agencies, durable medical equipment providers, and health care clinics. Among other things, S.B. 2658 and S.B. 1986 would establish additional licensure requirements, including requiring a $500,000 surety bond for nonimmigrant aliens who have controlling interest in one of the…
Full Article |
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Please choose an archived issue to view newsletter table of contents above
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