Compliance Hotline Archives – November 11, 2002
November 11, 2002
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Private payers cracks down on suspect arrangements
While most health care compliance efforts focus on government efforts to enforce federal laws, health care attorney Laura Keidan Martin says compliance officers should be aware of new initiatives insurance companies are undertaking to combat arrangements that fall outside state laws or prompt overutilization. -
How to deal with minors under HIPAA
One of the challenges facing providers under the Health Insurance Portability and Accountability Act (HIPAA) will be how to deal with minors, including newborns. -
Sheehan outlines emerging fraud theories
An area that is likely to see increased use of the False Claims Act is the theory of worthless services, says James Sheehan, the long-time assistant U.S. Attorney in the Eastern District of Philadelphia, who last month was promoted to the post of associate U.S. attorney for civil programs. -
State health fraud laws proliferate
According to Laura Keidan Martin, a health care attorney with Katten Muchin in Chicago, there are a number of state laws that form the basis for the current private payer initiatives into health care fraud.