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Report on Medicare Compliance Volume 29, Number 45 News Briefs: December 2020 #2 | Health Care Compliance Association (HCCA)

◆ CMS said Dec. 18 it will audit a sample of hospitals for compliance with price transparency requirements, which take effect Jan. 1, according to MLN Connects. [1] In addition, CMS will investigate complaints submitted to CMS and review “analyses of non-compliance, and hospitals may face civil monetary penalties for noncompliance.” CMS has a website for people to report noncompliance. [2] ◆ The American Hospital Association (AHA), Association of American Medical Colleges and other groups said Dec. 14 they have filed a lawsuit [3] against HHS, alleging it failed to enforce the requirements of the 340B drug discount program. “This lawsuit will require the department to take actions that we’ve long called for against drug companies that are disregarding the law by limiting the distribution of certain 340B drugs to eligible hospitals. It’s time to stop these illegal actions from drug companies and protect vulnerable patients and communities,” said AHA Preside

Georgia PT Provider Agrees To Pay $500k+ To Resolve Fraud Claims

AllOnGeorgia Georgia PT Provider Agrees To Pay $500k+ To Resolve Fraud Claims The company agreed to pay $506,811.18 to the United States to resolve allegations that it violated the False Claims Act by submitting bills to the Medicare and TRICARE programs for physical therapy services provided by unlicensed, uncredentialed or otherwise unapproved individuals. December 23, 2020 A civil settlement has been reached with former Warner Robins-based physical therapy provider McLeod-Hughes and Associates, LLC, and its owner Barry McLeod-Hughes, to resolve allegations of fraud, said Peter D. Leary, the Acting U.S. Attorney for the Middle District of Georgia. McLeod-Hughes agreed to pay $506,811.18 to the United States to resolve allegations that it violated the False Claims Act by submitting bills to the Medicare and TRICARE programs for physical therapy services provided by unlicensed, uncredentialed or otherwise unapproved individuals. Additionally, McLeod-Hughes has voluntarily agreed

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