Healthcare fraud penalties recovered in 2015
Governmental agencies targeting abuse of federal healthcare programs have developed increasingly sophisticated tools and techniques to uncover questionable arrangements hidden within the complex design of these programs.
A March 2015 press release from the Office of the Inspector General (OIG) reminds us that best practices in healthcare extend beyond patient outcomes—that physicians, hospitals, and their allied partners are incumbent to be good stewards of the business side of healthcare as well.
In the press release, the Departments of Justice and Health and Human Services announced that $3.3 billion in fraud was recovered in 2014—a return of $7.70 for every dollar spent on investigations. Given this significant return, we can expect investigators to increase their activity and widen their nets.
As your clinical partner, we encourage you to talk with us about compliance issues, including the Stark Law, the Anti-Kickback Statute, and other federal and state regulations. We’re proud of our compliance program, and our efforts to limit your exposure to risk.
- SpecialtyCare has no physician-owners in a position to refer patients to any hospital
- SpecialtyCare is not in a position to make or influence referrals or generate business for your facility
- SpecialtyCare operates under a comprehensive and robust compliance program, including annual compliance (including HIPAA privacy) training for all SpecialtyCare associates and an independently managed Compliance Help Line, which requires a thorough review of each report regardless of the source of the complaint or issue
- SpecialtyCare is a Joint Commission certified organization and adheres to its standards for compliance
Nondiscrimination and Accessibility
SpecialtyCare complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. For more information, see the Notice of Nondiscrimination and Accessibility Requirements and the Nondiscrimination and Accessibility Tagline Translations.
ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-615-345-5552.
For More Information
Contact our Chief Compliance Officer, Brett Burrell, at firstname.lastname@example.org