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Stephen Bittinger Healthcare Lawyer KL Gates Law Firm Charleston Medicare and Medicaid audits, private payer audits, federal regulatory termination and exclusion proceedings, False Claims Act prosecutions, and health care revenue issues. In addition, he has experience advising clients on defending and appealing audits by Recovery Audit Contractors, Zone Program Integrity
In this episode, we continue our discussion of home health enforcement trends, focusing on other audits currently troubling agencies. These include audits from Unified Program Integrity...
At December 31, 2021, our subsidiaries operated 60 hospitals serving primarily urban and suburban communities in nine states. At December 31, 2021, USPI had interests in 399 ambulatory surgery centers and 24 surgical hospitals in 34 states. At December 31, 2020, our Ambulatory Care segment also included 40 urgent care centers that were classified as held for...
Government enforcement agencies are primed to make healthcare provider upcoding a government focus as it shifts from COVID-related conduct to resuming other enforcement priorities.
Tuesday, December 15, 2020 I. Introduction Zone Program Integrity Contractors (“ZPICs”) are charged with the responsibility of investigating alleged instances of fraud, waste, or abuse by health care providers. They are authorized to conduct massive and detailed audits on behalf of the Centers for Medicare and Medicaid Services (“CMS”) in order to reveal such fraud, waste, or abuse. These audits are powerful tools used by the government to scrutinize the businesses of health care providers. Most often, providers are investigated for improper billing. ZPIC audits ofte...