Healthicity Blog

Back in the 1980’s, Larry Plutko started his career in Healthcare and by the 90’s found himself fascinated by compliance. In 2008, he accepted a position of compliance officer in Austin, Texas, where he became an important career mentor to me.

When we hear of doctors, hospitals and other healthcare providers settling False Claims Act allegations with the government, we frequently learn that the accusations were first raised by a current or former employee or another healthcare provider such as a physician.

Most of us by now have heard of the Yates’ Memo that directs the Department of Justice attorneys to hold individuals accountable for inappropriate actions associated with corporate wrongdoing. Since the memo, there’s been an increase of corporate accountability in the headlines, which demonstrates...

“Although compliance program design is not a “one size fits all” issue, Boards are expected to put forth a meaningful effort....”.

We all know the value of getting your board on board with compliance.

In December of 2016, the U.S. Attorney’s Office for the Southern District of Florida announced a $12 million settlement with South Miami Hospital regarding allegations of medically unnecessary cardiac electrophysiology studies and other procedures allegedly performed by John R. Dylewski, M.D.

A couple weeks ago, Medstar Ambulance Inc. settled False Claims Act allegations with the government for $12.7 million. The allegations were first brought to the attention of the government through a former billing office employee who filed a qui tam (i.e., whistleblower) lawsuit under the False...

“Open wide and say….Compliance”

Most of my blog posts reporting on settlements involve medical professionals or providers. It’s important to recognize that dental providers are also not immune to compliance woes.

For the last month or so I’ve been posting about various CIA compliance program requirements from the OIG in one of their most recently published CIA.