Healthicity Blog

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.

The OIG has stated, “every Board is responsible for ensuring that its organization complies with relevant Federal, State, and local laws.”

Welcome to this week's post in our Deeper Than the Headlines blog post series.

In fiscal year 2016, the Department of Justice (DOJ) recovered $2.5 Billion through the False Claims Act from the healthcare industry.

Every compliance officer knows that effective compliance requires the participation of “an entire village.” While some organizations might think that hiring a compliance officer is all an organization needs to maintain compliance, that assumption could not be further from the truth.

The OIG recently released their 2017 work plan. And the information can make or break your organization’s compliance program.

Seriously, you don’t want to mess with the OIG. Just last year they performed 1,662 exclusions, 428 criminal actions and 383 civil actions.