Becker's Spine Review

May_June 2018 Issue of Beckers Spine Review

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62 HEALTHCARE NEWS ADVERTISINGINDEX Note: Ad page number(s) given in parentheses ADVERTISER Aesculap Implant Systems. spine.us@ aesculap.com / xpstrong.com / (866)229- 3002 (pg. 8) Allen Medical Systems Inc. www. allenmedical.com / (978)266-4200 (pg. 52) Bioventus Surgical. bioventussurgical. com/beckers (pg. 40) ChoiceSpine. info@choicespine.com / choicespine.com / (865)246-3333 (pg. 11) Echelon Medical Capital. info@echelon. us / www.echelonmedicalcapital.com / (888)943-1031 (pg. 64) Esaote. esaoteusa.com (pg. 59) Haag-Streit USA. hsmicroscopes.com/spine / (855)854-5810 (pg. 2) K2M. spinek2m.com/bacsapp / (866)526- 4171 (pg. 35) National Medical Billing Services. nationalASCbilling.com / (866)948-7673 (pg. 6) Pacira Pharmaceuticals, Inc. www. exparel.com / (855)793-9727 (pgs. 3) Paradigm Spine, LLC. training@ paradigmspine.com / www.paradigmspine. com (pg. 4) SeaSpine Orthopedics Corporation. www.seaspine.com / (866)942-8698 (pg. 44) Spineology. marketing@spineology.com / www.spineology.com / (888)377-4633 (pg. 45) TeDan Surgical Innovations, LLC. info@ tedansurgical.com / (713)726-0886 (pg. 25) Titan Spine. tsinfo@titanspine.com / titanspine.com / (866)822-7800 (pg. 54) Zavation. sales@zavation.com / www. zavation.com / (601)919-1119 (pg. 23) Feds launch investigation into Tenet's Detroit Medical Center: 7 things to know By Ayla Ellison T he U.S. Attorney's Office for the Eastern District of Michigan is investigating whether Detroit Medical Center, part of Dallas-based Tenet Healthcare, violated the Anti-Kickback Statute, Stark Law and the False Claims Act, according to a recent Securities and Exchange Commission filing. Here are seven things to know about the investigation. 1. In September 2016, Tenet and a few of its subsidiaries entered into an agreement with the Department of Justice to resolve a qui tam, or whistleblower, lawsuit and a criminal investigation. As part of that settlement, Tenet executed a nonprosecution agreement with the DOJ and the U.S. Attorney's Office for the Northern District of Georgia. 2. e NPA requires Tenet to hire an outside law firm to monitor and oversee the company's compliance with the agreement, and to cooperate with the DOJ and the U.S. Attorney's Office in any investi- gation into the company's conduct during the term of the NPA. e agreement is scheduled to expire Nov. 1, 2020. 3. In its recent SEC filing, Tenet said it could have breached the NPA by failing to report allegations of actual or potential violations of the Anti-Kickback Statute to the DOJ. 4. Specifically, the DOJ claims Tenet failed to report that Crain's De- troit Business published an article in August 2017 alleging DMC laid off 14 nurse practitioners and physician assistants due, in part, to Tenet's concerns that the providers' prior employment did not com- ply with the Anti-Kickback Statute, Stark Law and the False Claims Act. 5. Additionally, Tenet did not promptly report receiving a document request from the U.S. Attorney's Office for the Eastern District of Michigan and the Civil Division of the DOJ, according to the SEC filing. e U.S. Attorney's Office asked Tenet to provide documents related to a civil investigation of DMC for potential violations of the Anti-Kickback Statute, Stark Law and the False Claims Act. e doc- ument request was related to the allegations in the Crain's article. 6. e NPA required Tenet to hire an outside law firm to monitor and oversee the company's compliance with the agreement. at law firm is performing a retrospective review of Tenet's compliance with reporting obligations. 7. In the first quarter of 2018, the DOJ told Tenet it will wait until the retrospective review is complete before making a decision on the appropriate remedy for the breach of the NPA. Tenet anticipates the review and discussions with the DOJ to continue into the second quarter of 2018. n Woman receives $12k bill after 2-hour ER visit for bee sting By Ayla Ellison A woman in Florida received a $12,000 bill after she went to a hospital ED for a bee sting in 2015, according to CNN Money. After being stung by a bee in her yard in Valrico, Fla., Sylvia Rosas decided to go to the ED because she had experienced allergic reac- tions in the past, according to the report. While at the hospital, she was seen by numerous physicians, who or- dered an EKG and thousands of dollars in blood tests. Her hospital visit lasted less than two hours. Because the hospital was not in Ms. Rosas' insurance network, she was responsible for the entire $12,000 bill, according to the re- port. "Never did I think I'd have this type of a bill," Ms. Rosas told CNN Mon- ey. "I was there for such a short time." Ms. Rosas' experience highlights a national trend. Spending on ED visits rose 31 percent between 2012 and 2016, according to CNN Money, which cited a study by the Health Care Cost Institute. n

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