Healthcare Risk Management 2013-10-01

Salespeople in operating room pose risks, require vetting and guidelines

Hospitals are taking a stricter approach to allowing salespeople in the operating room (OR) during surgery. Other vendors also pose risks if not properly vetted and their actions at the hospital aren't limited.

$26 million settlement holds lessons for risk managers

Shands Healthcare in Florida will pay $26 million to settle allegations of false claims. A contractor first accused the provider of defrauding Medicare, Medicaid, and other federal healthcare programs.

Internal investigations can be best fraud defense

Internal investigations offer the best way to detect and prevent fraud, determine its scope, and defend government investigations. Learning the scope of the problem as early as possible affords the best opportunity to prevent or limit damages.