Bass, Berry & Sims attorney Brian Bewley provided insight for an article in Urology Times documenting recent settlements involving urology practices and violations of the False Claims Act (FCA). The article examined how urology practices can violate the FCA for improperly billing Medicare for reimbursement claims. Brian stressed that being proactive about compliance is one of the best ways to prevent false claims from being filed.
“The general position of the government, particularly the OIG, is that you need to be proactive and be aware of high-risk areas for your particular organization or practice,” Brian said. “Being aware of current enforcement areas, and the corresponding risks, is not sufficient. You need to be proactive and make sure that your employees and other providers and practitioners in the practice are also aware of them. Make sure everyone knows the rules and regulations surrounding what’s appropriate and what isn’t.”
Brian continued by stating, “Then pressure-test that. Take a look and make sure you’re billing properly and are only providing services when necessary and are properly documenting these services. If you identify mistakes or errors, then implement corrective action, including making appropriate refunds of overpayments and training and education for those who made the mistakes or errors. And re-educate and train.”
The full article, “Urology Practices No Stranger to Legal Risk,” was published by Urology Times on April 29, 2019, and is available online.