Healthicity Blog

Last month the OCR announced a $3.5 million settlement with Fresenius Medical Care North America (FMCNA).

The Vermont hospital, Brattleboro Memorial, recently paid $1.6 million to the U.S. and State of Vermont to resolve allegations of false claims.

A few weeks ago, we presented a webinar on the impact of the 60-day overpayment rule since its release two years ago. We had so many questions at the end of the webinar, we couldn’t get to all of them.

According to a recent post on Justice.gov, “A Detroit, Michigan-area doctor was sentenced to 72 months in prison today for his role in a $10.4 million conspiracy to defraud the Medicare program.”

A little over a month ago, I blogged about the OIG guidance regarding compliance requirements and risks associated with grants.

For years, the OIG has been performing Hospital Compliance Reviews that are essentially data-driven billing analyses of inpatient and outpatient reimbursement.

In this episode of compliance conversations, I sat down with Stephani Scott, VP of Audit Services for Healthicity, to chat about her twenty years of experience and pick her brain on important auditing issues.

When most of us hear about OCR enforcement we immediately think about HIPAA, and rightfully so. There’s no doubt that HIPAA has definitely been a big enforcement area for OCR, but remember that OCR stands for the “Office for Civil Rights” and they oversee other areas of enforcement as well.