TEXAS STATE MEDICAID FRAUD CONTROL UNIT: 2013 ONSITE REVIEW OIG oversees the activities of all Medicaid Fraud Control Units (MFCUs or Units). As part of this oversight, OIG conducts periodic reviews of all Units and prepares public reports based on these reviews. The reviews assess Unit performance in accordance with the 12 MFCU performance standards and monitor Unit compliance with Federal grant requirements. For fiscal years (FYs) 2010 through 2012, the Texas Unit reported recoveries of … [Read more...] about TEXAS STATE MEDICAID FRAUD CONTROL UNIT: 2013 ONSITE REVIEW
Risk Reduction and the Internal Investigation Policy
An essential element of an effective health care compliance plan is the internal investigations policy. Actions by employees, acting in the course and scope of their employment, can subject corporations to civil and criminal liability. Detecting, investigating and remedying such situations are crucial given the regulatory environment under which health care companies operate. The conduct of the investigation itself can exacerbate the situation. Employees subjected to discipline may … [Read more...] about Risk Reduction and the Internal Investigation Policy
Three Felonies A Day Redux
Some time ago, I wrote about Harvey Silverglate's book Three Felonies A Day: How the Feds Target the Innocent. The book's premise is that there is virtually no adult in this country who has not violated a federal criminal law because of the incredible number of laws and the vagueness and breadth of them. Moreover, almost every Federal regulation carries criminal consequences either directly or through piggy-backing with a statute.This should be of particular concern to health providers … [Read more...] about Three Felonies A Day Redux
