Emerging Areas of Health Care Compliance and Enforcement

James Sheehan, Chief Charities Bureau, NY Attorney General.

2021-08-06

  • Billing for services where there is failure to comply with clinical standards (Upper Allegheny Health System 5/21/21 settlement)

  • Billing for services not reasonable or necessary/corporate policy and practice tracking software to increase revenue (Isaac Laufer, Tami Whitney, and Montclair Care Center (SDNY Complaint June 2021) SavaSeniorCare LLC (settlement 5/21/21)

  • Patient billing and failure to offer financial assistance (State of Washington v. Franciscan Health System Consent decree Washington AG 4/29/19)

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