March 2018 Contents
16 Meet Alan Alda
an interview by Adam Turteltaub
23 False Claims Act 2017 report card:
$2.4 billion recovered
by Joan W. Feldman
A look at ten settlements for the most egregious federal FCA cases
in healthcare last year.
29 Impact of state False Claims Acts
by Denise Atwood
Your compliance program and training should encompass your state’s
regulations to protect Medicaid from fraudulent claims.
35 Stacked physician compensation:
Keys to compliance
by Bartt B. Warner and Thomas A. Warrington, Jr.
To reduce the risk of enforcement action, several areas need to be
explored when determining if a physician’s total compensation falls
within the limits of the laws and regulations.
42 [CEU] Navigating Medicare Secondary Payer
compliance and False Claims Act liability
by Gary W. Herschman, Melissa L. Jampol,
and Tristan A. Potter-Strait
The burden of investigating a patient’s health insurance coverage is
squarely on the shoulders of the provider, and knowing whom to bill
for care is crucial to avoiding liability.
15 People on the Move
76 Newly Certified Designees
78 New Members
82 Upcoming Events
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3 Letter from the Incoming CEO
by Gerry Zack
5 Letter from the CEO
by Roy Snell
by Catherine Boerner
27 Managing Compliance
by Lynda S. Hilliard
33 The Compliance – Quality
by Sharon Parsley
40 Security Awareness Reminder
by Frank Ruelas
50 Reflections in Research
by Kelly M. Willenberg