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	<title>Behavioral Healthcare Appeals</title>
	<link>http://www.partialhospitalization.com</link>
	<description>Defending Medicare Providers - Call 1 (800) 475-1906 today for a free consultation</description>
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		<title>DOJ is Criminally Prosecuting Virginia Physician Who Improperly Disclosed Patient Health Information</title>
		<description><![CDATA[(June 24, 2011): Physicians and other health care providers should take care — improprerly  disclosing a patient’s protected individual health information could land you in Federal prison. Earlier this week, Virginia osteopath was indicted in the Eastern District of Virginia on charges that he illegally disclosed a former patient’s health information to the patient’s employer. The Virginia [...]]]></description>
		<link>http://www.partialhospitalization.com/2011/06/doj-is-criminally-prosecuting-virginia-physician-who-improperly-disclosed-patient-health-information/</link>
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		<title>CMHC Compliance Officers Should Review Their Compliance Plans to Ensure that &#8220;I-9s&#8221; are Being Properly Handled and Completed by Staff.  The Failure to do so Can Result in Civil and / or Criminal Penalties.</title>
		<description><![CDATA[(November 28, 2010): In 2003, the Immigration and Naturalization Service (INS) was became part of the U.S. Department of Homeland Security. Despite this change, certain functions, such as responsibility for enforcing citizenship discrimination actions remained with the U.S. Department of Justice&#8217;s Office of Special Counsel for Immigration-Related Unfair Employment Practices (DOJ-OSC).  As one large not-for–profit [...]]]></description>
		<link>http://www.partialhospitalization.com/2010/11/cmhc-compliance-officers-should-review-compliance-plans-to-ensure-that-i-9s-are-being-properly-handled-and-completed-by-staff-the-failure-to-do-so-can-result-in-civil-and-or-criminal-penalties/</link>
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		<title>The Zone 7 ZPIC Has Recommended Revocation of 82% of CORFS and 79% of CMHCs in South Florida – Is Your ZPIC Next?</title>
		<description><![CDATA[(October 9, 2010):  In late 2008, SafeGuard Services LLC (SafeGuard) was awarded one of the first two contracts to serve as a Zone Program Integrity Contractor (ZPIC) for Zone 7, an area which includes Florida, Puerto Rico and the U.S. Virgin Islands.  The contract covered a base year plus four additional years.  SafeGuard’s appointment was [...]]]></description>
		<link>http://www.partialhospitalization.com/2010/10/the-zone-7-zpic-has-recommended-revocation-of-82-of-corfs-and-79-of-cmhcs-in-south-florida-%e2%80%93-is-your-zpic-next/</link>
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		<title>HHS-OIG has Identified “Partial Hospitalization Program Services” as a New Audit Area of Interest in its 2011 Work Plan</title>
		<description><![CDATA[(October 1, 2010):  This afternoon, HHS-OIG issued its 2011 Work Plan setting out new and continuing areas of interest where the investigative agency plans to initiate new audit reviews or continue their assessment of other areas of interest.  Depending on the ultimate findings made by HHS-OIG’s Office of Audit Services, there may very well be [...]]]></description>
		<link>http://www.partialhospitalization.com/2010/10/hhs-oig-has-identified-%e2%80%9cpartial-hospitalization-program-services%e2%80%9d-as-a-new-audit-area-of-interest-in-its-2011-work-plan/</link>
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		<title>Is the Government Overreaching with its use of the False Claims Act?  The AHA Sure Seems to Think So.</title>
		<description><![CDATA[(September 11, 2010): Earlier this week, the American Hospital Association (AHA), a primary industry association for hospitals around the country, wrote to DOJ Attorney General Eric Holder and HHS Secretary Kathleen Sebelius, to express the hospitals’ concern that the government may be overreaching in its use of the False Claims Act (FCA). As you will [...]]]></description>
		<link>http://www.partialhospitalization.com/2010/09/is-the-government-overreaching-with-its-use-of-the-false-claims-act-the-aha-sure-seems-to-think-so/</link>
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		<title>Additional Cities will have HEAT Teams in 2011</title>
		<description><![CDATA[(August 27, 2010): Yesterday, Attorney General Eric Holder and U. S. Department of Health and Human Services (HHS) Secretary Kathleen Sebelius conducted the second of a planned series of “Regional Health Care Fraud Prevention Summits.”  The first summit was recently conducted in Miami, Florida.  This summit was held in Los Angeles, California.  In addition to these [...]]]></description>
		<link>http://www.partialhospitalization.com/2010/08/additional-cities-will-have-heat-teams-in-2011/</link>
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		<title>&#8220;Medical Records Retention&#8221; Issues Continue to be Important for CMHCs</title>
		<description><![CDATA[(August 17, 2010): The Centers for Medicare and Medicaid Services (CMS) recently issued MLM Matters SE1022, titled “Medical Record Retention and Media Formats for Medical Records” which serves as a helpful reminder regarding a number of medical records retention issues faced by Community Mental Health Centers (CMHCs) around the country.  As reflected in the guidance, MLM Matters SE1022 directly [...]]]></description>
		<link>http://www.partialhospitalization.com/2010/08/medical-records-retention-issue-continue-to-be-important-for-cmhcs/</link>
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		<title>CMS is Requiring that ZPICs and PSCs Strictly Adhere to &#8220;Signature Requirements&#8221; When the Contractors are Conducting Medical Reviews</title>
		<description><![CDATA[(August 4, 2010): The Centers for Medicare and Medicaid Services (CMS) has recently updated its &#8220;signature requirement&#8221; instructions to Medicare contractors, Change Request (CR) 6698, (including affiliated contractors such as CERT reviewers, ZPICs and PSCs) to be applied as they conduct Medicare claims audits and reviews.    As the guidance reflects, this issuance is intended to “clarify and update” [...]]]></description>
		<link>http://www.partialhospitalization.com/2010/08/363/</link>
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		<title>With ZPICs, PSCs, and RACs Fighting Most, If Not All, Extrapolation Challenges, Experienced Counsel Is Imperative if You Hope to Have the Extrapolation Invalidated</title>
		<description><![CDATA[(July 20, 2010): In recent years, we have seen agents for the Centers for Medicare &#38; Medicaid Services (CMS) increasingly rely on statistical extrapolation estimates when assessing claims overpayments. In early cases, we successfully invalidated countless extrapolations by identifying relatively basic reasons for why the calculations were inconsistent with accepted statistical principles and practices.  Now, [...]]]></description>
		<link>http://www.partialhospitalization.com/2010/07/with-zpics-pscs-and-racs-fighting-most-if-not-all-extrapolation-challenges-experienced-counsel-is-imperative-if-you-hope-to-have-the-extrapolation-invalidated/</link>
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		<title>Medicare Fraud Strike Force Operation Leads to Charges against 94 Defendants, including 4 in South Texas</title>
		<description><![CDATA[ (July 17, 2010): Yesterday, the Department of Justice (DOJ) announced charges against 94 physicians, medical assistants, and health care company owners and executives in connection with alleged false Medicare claims amounting to more than $251 million.  24 defendants from Miami account for approximately $103 million of that amount.  Four defendants were charged in Houston for [...]]]></description>
		<link>http://www.partialhospitalization.com/2010/07/medicare-fraud-strike-force-operation-leads-to-charges-against-94-defendants-including-4-in-south-texas/</link>
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