Healthicity Blog

Medical necessity matters. The concept of medical necessity (or lack thereof) is what drives much of the multi-million dollar whistleblower suits and healthcare provider settlements we see in the healthcare industry today. Corporate integrity agreements often spell out requirements placed on...

Last year two doctors in Long Island, Dr. Vikas Desai, and Dr. Robert Maccone, entered into separate civil settlement agreements where they agreed to pay the United States a total of $1,120,299 dollars to resolve allegations

Nothing makes employees cringe like employee training. Add the word “compliance” and you’ll have your staff running for the hills. Training brings to mind hours of monotone lectures, a total snoozefest where employees will have to fight to stay awake. Boring or not, training is a necessity...

I recently attended the 20th annual HCCA Compliance Institute conference. I attend every year, and look forward to it. As a compliance expert, I go for the people, the networking, but more than anything I go for the information.

Employee onboarding is the best way to get the most out of your employees as quickly as possible.

As a Compliance Officer, you’re charged with the complicated task of creating and maintaining compliance. You manage a thousand moving parts, often while fighting a constant, uphill battle to prove the legitimacy of your relatively new, though crucial, position.

Recently, federal auditors reported that the University of Minnesota Medical Center needs to refund more than $3.2 million in estimated overpayments for services that were allegedly billed incorrectly to the Medicare program.

It’s crucial to perform a medical records audit to effectively maintain your auditing plan. Reporting results to the overseeing physicians, committee, or board is the next step to improving organizational compliance.