Healthicity Blog

Let’s say you’re a Medicare Advantage organization and one day you receive a notification from CMS that you’ve been selected for a program audit. What should you do?

The OIG recently posted new work plan items in their May 2018 update online. There are two items in particular that I think all of you need to know more about.

CMS won’t be enforcing the Affordable Care Act’s Skilled Nursing Facilities compliance requirement until November of 2019.

As compliance professionals, we tend to focus on large dollar settlements to raise awareness within our organization. These type of events can definitely make some executives pay attention.

Recently, a $3.5 Million HIPAA settlement was announced on HHS.gov, “Fresenius Medical Care North America (FMCNA) has agreed to pay $3.5 million to the U.S. Department of Health and Human Services

Ever wonder how the OIG investigates fraud? What do they look for? What challenges to they face?

Many Tribal programs receive funds from the Department of Health and Human Services (HHS). Have you ever wondered if you’re meeting all the requirements to protect that revenue stream and the beneficiaries it’s intended to serve?

Everyone has to report to someone, even the OIG, and one way the OIG reports is via testimony before Congress. The latest of such testimony was given on April 12, 2018, by Megan H. Tinker, Senior Advisor for Legal Review.