Health Reform: What's a Provider to Do?

What should health care providers be doing in anticipation of the likely passage of an historic health reform bill?  There are at least three possibilities: (1) Lament the passing of the good old days and oppose it; (2) Insist that it isn't good enough because it is lacking some key provision (tort reform; SGR replacement; […]

Red Flags Rule: The FTC piles on, because HIPAA, ARRA and overlapping state laws just weren't enough

Update 5/28/10:  Red Flags? Nah … nothin' but blue skies.  The FTC delays implementation of the Red Flags Rule yet again, to December 31. Update 11/3/09:  The FTC announced that implementation of the Red Flags Rule will be delayed once more, this time until June 1, 2010.  The announcement came on the heels of losing […]

Oxygen and Medicare: plus ca change . . .

. . . plus c’est la meme chose.  I am shocked, shocked, to learn from the newspaper of record that Medicare is overpaying for oxygen and related equipment and supplies.  Seems the OIG reported on the self-same issue over a year ago. Are there cases in which the Medicare payment is appropriate?  Sure, but there […]

OIG issues the Compendium of Unimplemented OIG Recommendations

Read the full Compendium.  Or just take a look at the priority recommendations.  There’s something for everyone.  The OIG scopes out its "priority" recommendations as being "comprised of both monetary and non-monetary recommendations, representing various time frames. The list comprises three categories: savings, integrity and efficiency, and quality of care."  The quantified "priority" unimplemented OIG […]

OIG advisory dings existing and proposed home oxygen arrangements of DME supplier

The OIG issued a negative advisory opinion earlier this month. A DME supplier requested confirmation that providing free home oxygen before patients qualify for Medcare coverage, and overnight oximetry testing services free of charge, would not be considered illegal remuneration to a person in a position to order or purchase covered goods or services. At […]