Healthicity Blog

In last week’s blog post we examined the “ownership” requirements of a recently published CIA. This week we continue to dive deeper into the CIA by reviewing the requirements surrounding written standards/policies, training/education, and auditing/monitoring.

This week, let’s dive deeper into the requirements of a recent corporate integrity agreement and what your organization can learn from it.

On Dec. 1, 2016, a judge ordered to unseal an indictment of 21 individuals allegedly involved in a $40 million bribe and kickback scheme involving Forest Park Medical Center Dallas (FPMC). 

The OIG recently released their 2017 work plan. And the information is crucial for the success of your organization and compliance program.

Though whistleblower settlements don’t necessarily seem to be slowing down, it does seem that the government is announcing more and more settlements that appear to have originated from government data mining as opposed to whistleblowers.

11,343 individuals and entities have been excluded from participation in federal healthcare programs. The federal government has been awarded or negotiated over $6.8 billion in healthcare fraud judgments and settlements.

On November 15, 2016, the HHS OIG announced that New Jersey OB/GYN, Dr. Labib Riachi, agreed to be excluded from participation in Federal healthcare programs for 20 years.

Each year, the HHS OIG publishes a work plan which highlights areas they will focus their auditing and investigative resources upon. Some of the projects are continuations from the prior year’s work plan while some are new or revised.