Category Archives: Self Disclosure Protocols

Annual Health Care Fraud and Abuse Control Program Report

 2026 Health Care Fraud Enforcement Update: Compliance Risks, False Claims Act, and Medicare Advantage Health care fraud enforcement is no longer a distant risk reserved for bad actors on the margins of the industry. In 2026, health care providers, suppliers, … Continue reading

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Dermatology Fraud Risk Areas – Impossibly Long Days

By John Fisher, JD, CHC, CCEP Dermatology Billing Risk — Incident-to Supervision and Impossibly Long Days Executive Summary This compliance brief summarizes a dermatology enforcement matter involving alleged improper “incident to” billing, failure to supervise services, and billing patterns reflecting … Continue reading

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Health Law Firm Opens Green Bay Office

By Fisher, JD, CHC, CCEP <   Health Care Attorney John Fisher Announces Virtual Legal Services for Green Bay, Menominee, Appleton, Oshkosh, and the Greater Fox Valley Attorney John Fisher, a health care lawyer with more than 30 years of … Continue reading

Posted in Ambulatory Surgery Centers, Anesthesiologists, Antitrust in Healthcare, Behavioral Health, Clinical Integration, Consierge & Cash-Based Practices, Dental Practice Issues, Fraud and Abuse, Health Care Contracting, Health Law Practice, HIPAA - Health Information Privacy, Home Health, Hospital Issues, Long Term Care, Medical Staff Organization & Structure, Medicare and Medicaid, Medicare and Medicaid Reimbursement, Physician Contracting and Alignment, Physician Issues, Physician-Owned Hospitals, Radiology Issues, Reimbursement & Payment Practices, Self Disclosure Protocols, Stark Law and Anti-Kickback Issues, Telemedicine, Wisconsin Health Laws, Wisconsin Hospitals, Wisconsin Long Term Care, Wisconsin Physician Issues | Comments Off on Health Law Firm Opens Green Bay Office

Credible Information Indicating Overpayment – Duty to Investigate

By John Fisher, JD, CHC, CCEP Credible Information Indicating Overpayment: Duty to Investigate Date: June 27, 2017 Executive Summary The 60-day repayment rule requires health care providers to act promptly when they receive credible information indicating a potential overpayment. Under … Continue reading

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Compliance Program Best Practices Review of Effectiveness

By John Fisher, JD, CHC, CCEP Compliance Program Best Practices: Review of Effectiveness Legal and Regulatory Considerations for Reassessing Compliance Program Effectiveness Regulatory Context and Compliance Obligations Historically, compliance programs were not imposed as a universal legal requirement for all … Continue reading

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Using the Self Disclosure Protocols to Minimize Risk

By John Fisher, JD, CHC, CCEP Client Alert: When to Use the OIG’s Self-Disclosure Protocol Executive Summary Health care providers that identify potential compliance issues involving federal health care programs should carefully evaluate whether disclosure through the HHS Office of … Continue reading

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Unnecessary Inpatient Admissions Results in Hospital DOJ Settlement

Hospital Inpatient Admission Fraud: False Claims Act Risks for Unnecessary Hospital Admissions Quick Answer: What Is Hospital Inpatient Admission Fraud? Hospital inpatient admission fraud occurs when a hospital allegedly bills a federal health care program for inpatient care that was … Continue reading

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Dermatology Practice Fraud and Abuse Risks Identified in Florida Case

By John Fisher, JD, CHC, CCEP Client Alert: Dermatology Fraud Case Highlights Risks of Repetitive Multiple Removal Code Billing Date: June 27, 2017 Executive Summary A 2015 criminal conviction of a Chicago-area dermatologist provides a cautionary example for healthcare providers … Continue reading

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Health Care Compliance Resource Portal Launched by OIG

By Fisher, JD, CHC, CCEP Office Inspector General Launches New Compliance Resource Portal by John H. Fisher, II, JD, CHC, CCEP OIG Compliance Portal: Centralized Health Care Compliance Resources for Providers What the OIG Compliance Portal Adds At a recent … Continue reading

Posted in Accountable Care Organizations, Ambulatory Surgery Centers, Anesthesiologists, Compliance Issues, Consierge & Cash-Based Practices, Dental Practice, Dental Practice Issues, Fraud and Abuse, Health Law Practice, Home Health, Hospital Issues, Long Term Care, Medicare and Medicaid, Medicare and Medicaid Reimbursement, Physician Issues, Radiology Issues, Reimbursement & Payment Practices, Reimbursement Issues, Self Disclosure Protocols, Stark Law and Anti-Kickback Issues, Telemedicine | Comments Off on Health Care Compliance Resource Portal Launched by OIG

Using Self-Disclosure Protocols – CMS and OIG Self Disclosure Process

By Fisher, JD, CHC, CCEP Self-Disclosure Has Become a Normal Part of the Compliance Process As the OIG and CMS make self-disclosure easier for providers, we have noticed an increase in the rate of cases that are being filed.  Assisting … Continue reading

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