Healthicity Blog

The HHS OIG recently published a report expressing concern about utilization trends tied to peripheral vascular procedures, particularly those performed in office-based settings. The report noted that the trends raise questions around program integrity — signaling that additional audits and reviews...

The HHS OIG’s latest Work Plan updates provide an important look into the compliance risks, billing practices, and operational areas likely to face increased scrutiny in the months ahead.

A recently announced Botox fraud conviction is drawing attention across the healthcare industry, not only because of the size of the alleged fraud, but because of the compliance and oversight failures involved throughout the case.

Previously we wrote about some of the highlights in the HHS OIG’s newest compliance program guidance for the Medicare Advantage segment of healthcare. The guidance is often referred to as the MA ICPG and our prior posting can be found here.

In the latest installment of Deeper Than the Headlines, CJ Wolf, MD, examines a recent enforcement action involving a Florida-based medical practice and its physician owner, who agreed to pay over $415,000 to resolve allegations under the False Claims Act.

While the dollar amount may not be the...

Karl Pearson said it best: "That which is measured improves; that which is measured and reported improves exponentially."

We previously wrote about some of the highlights in the HHS OIG’s newest compliance program guidance for the Medicare Advantage segment of healthcare. The guidance is often referred to as the MA ICPG, and our prior posting can be found here.