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Operation Restore Trust nabs physicians for fraud

Article Abstract:

Operation Restore Trust, a five-state federal effort, has resulted in the criminal conviction of nearly three dozen individuals, including seven physicians. The effort has also garnered $42.3 million in restitution, fines and settlements. The program has targeted home helath agencies, nursing homes and durable medical equipment companies. In addition to completed investigations, 272 cases are still under investigation. The Department of Health and Human Services' Office of the Inspector General is among the state and federal agencies involved in the project.

Investigations, Crime, Medicaid fraud, Medicare fraud, United States. Department of Health and Human Services. Office of Inspector General

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Protect your practice from catastrophic loss

Article Abstract:

Physicians should seriously evaluate reinsurance policies in order to protect their practices from excessive medical costs and liabilities when considering capitated contracts with managed care insurers. The best time to evaluate reinsurance policies is before a managed care contract is signed. physicians should analyze coverage, risk, and whether reinsurance in provided for in the managed care contract or provided for separately.

Contracts, Health insurance industry, Insurance

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Increase office efficiency, decrease office frustration

Article Abstract:

Physicians are often puzzled about all the changes that come with managed care, but if their offices are well run and efficient, the changes and the resulting stress will seem less. Physicians should examine their options, such as new technology and services that will help them run their organizations better. Implementation of any changes is key and should be planned accordingly.

Management, Beliefs, opinions and attitudes, Managed care plans (Medical care)

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