August 30th, 2012
ICD Investigation: DOJ Sends Resolution Model to Hospitals
Larry Husten, PHD
Hospitals across the country received emails from the U.S. Department of Justice on Thursday containing a proposed “Resolution Model” that will allow the hospitals to begin to settle the long-standing and much-feared DOJ investigation into improper Medicare billing for ICDs. The action appears to confirm an article, published earlier in August in Report on Medicare Compliance, that summarized the […]
August 8th, 2012
Feds Turn Corner in ICD Investigation, Hospital Liability Divided into Categories
wpengine
The DOJ has a blueprint for determining liability in its false Medicare false claims investigation involving defibrillator procedures, according to the Report on Medicare Compliance.
August 7th, 2012
NY Times: HCA Concealed Significant Problems at Lucrative Cardiac Centers
Larry Husten, PHD
Despite numerous internal reviews that turned up a widespread pattern of unnecessary cardiology procedures being performed at many of its hospitals, the giant HCA corporation did little to rein in the problem or to inform regulators, payers, or patients about it, according to an investigative report in the New York Times by Reed Abelson and Julie Creswell. […]
August 6th, 2012
DOJ Investigating Interventional Cardiology Services at HCA
Larry Husten, PHD
The hospital giant HCA has disclosed that the U.S. Attorney’s Office in Miami is investigating the company and has “requested information on reviews assessing the medical necessity of interventional cardiology services provided at any Company facility (other than peer reviews).” Following its own preliminary investigation, the company said it was aware of such reviews in about 10 […]
May 12th, 2012
HRS 2012: More Clarity on DOJ ICD Investigation, ‘Incidental PCIs’ Still Excluded
Edward J. Schloss, MD
Thursday morning at Heart Rhythm Scientific Sessions 2012, Suneet Mittal MD of Columbia University gave a detailed account of his group’s experience with a Department of Justice investigation of ICD implantation outside of NCD guidelines. The talk served to amplify and clarify points made in his perspective in JACC written with Jonathan Steinberg MD, in March 2012. Not long […]
NEJM Journal Watch — Recent Cardiology Articles- Persistent Symptoms After Valve Replacement for Severe Aortic Stenosis
- Is Diltiazem Safe in Patients with AF Taking Apixaban or Rivaroxaban?
- Does Lowering High Childhood Lipid Levels Prevent Adverse Cardiovascular Events in Adulthood?
- Self-Expanding Supraannular Valve vs. Balloon-Expandable Valve in TAVR for Small Aortic Annulus
- A New TAVR Prosthesis for Aortic Regurgitation Shows Promise