Healthicity Blog

It’s not unusual to read about large, multi-million dollar settlements for alleged healthcare fraud and abuses.

As we discussed in our previous incident management posts, your compliance program doesn’t need to be perfect, but rather, it needs to be “generally effective” in preventing non-compliance.

Tenet Health announced on Aug. 1, 2016 that it believes it has come to an agreement with the U.S. government for a $514 million settlement associated with a lawsuit alleging it paid for maternity patient referrals.

Our job as compliance officers is not to expect perfection, but rather to be “generally effective” in preventing non-compliance.

Most of the time, whistleblowers are employees or someone internal to an organization. In the recent guilty verdict of Dr. Syed Ahmed, a surgeon in New York, it appears from court documents that patient complaints triggered the HHS-OIG and FBI investigations which led to the doctor’s trial.

‘I just wish there were more time in the day.’ 

This is a statement many of us have probably said a hundred times.

Are you missing out on an important opportunity to vastly improve your organization’s compliance program and prevent potential fines, legal actions, and bad press?

A review of court records shows that the government alleges that Prime Healthcare implemented practices and procedures that would lead