Healthicity Blog

You want to improve your compliance program but just don’t have the time for a total overhaul at the moment. Well, have no fear, because there are a few small tweaks you can make that can have a huge impact on your program. And the good news is that it’s easier than you think.

Sensegiving in Change Management

Recently, I was talking with a friend, a long-time compliance colleague. As we grew more comfortable in the conversation, he confided in me some current frustrations in his compliance leadership role.

For this episode of Compliance Conversations, I sat down with Chad Peterson, a senior consultant at a large hospital, in their professional coding and reimbursement group. He educates physicians, mid-level providers/ advanced practice providers and even ancillary staff about E/M coding.

340B Drug Pricing Program

The 340B drug pricing program was authorized by Congress in 1992 to generate savings for certain safety-net healthcare providers by allowing them to purchase outpatient drugs at discounted prices. It is estimated that the savings to 340B providers attributable to the...

The Centers for Medicare and Medicaid Services (CMS) issued the Reform of Requirements or Long-Term Care Facilities in 2016 with a three-part phased implementation.

Most healthcare fraud and abuse cases settle before ever going to trial. However, when they occasionally do go to trial, the outcomes can be as varied as the facts and circumstances of a specific case. A recent trial in Houston didn’t turn out so well for Dr. Ronald Kahn, a Houston physician.

The DOJ just announced its biggest healthcare enforcement action in history. Compliance personnel will definitely want to know the details since over 100 physicians, nurses or other clinicians were individually indicted.

On July 13, 2017, the Department of Justice (DOJ) announced the largest healthcare fraud takedown in history.