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Finalized Medicare 60-Day Overpayment Rule Goes Into Effect Today – Providers Are You Ready?

Finalized Medicare 60-Day Overpayment Rule Goes Into Effect Today – Providers Are You Ready?

In 2010 the Affordable Care Act (“ACA”) implemented a 60-day reporting and refund requirement for Medicare overpayments.[1] Any provider that has received an overpayment is required to report and return the overpayment within “60 days after the date on which the overpayment was identified.”[2] An overpayment occurs when a provider ... Read More »

Compounded drugs marketed to TRICARE beneficiaries undergoing close examination by federal investigators

Compounded drugs marketed to TRICARE beneficiaries undergoing close examination by federal investigators

Ongoing investigations by both the Department of Defense (DOD) and a major U.S. media organization allege that suspicious marketing and prescribing activities have led to astronomical increases in TRICARE costs for compounded medications. According to the Military Times, TRICARE paid $769 million for compound prescriptions between January and March 2015, ... Read More »

Concussion and traumatic brain injury: A historical perspective

Concussion and traumatic brain injury: A historical perspective

Public awareness of the long-term effect of head injuries sustained in competitive sports, including but certainly not limited to collegiate and professional football, has increased significantly in the past decade. The highly publicized National Football League (NFL) federal court litigation has transitioned from the sports section to page-one treatment in ... Read More »

Home healthcare worker violates HIPAA and steals protected health information: due diligence of employees and mandated criminal background checks

Home healthcare worker violates HIPAA and steals protected health information: due diligence of employees and mandated criminal background checks

In Lee County, Florida, a home healthcare nurse stands accused of stealing from her elderly patients. Police investigators say that the nurse opened fraudulent credit card accounts under the names of at least eight of her patients. Computer and transaction records indicate that she used stolen or fraudulently obtained credit ... Read More »

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