Healthicity Blog

1. Administrator of Miami - Area Home Health Agency Sentenced to 126 Months in Prison for Involvement in $2.5 Million Medicare Fraud Scheme -

When Trent Stechschulte joined Equitas Health as their Compliance Officer, he discovered a compliance program that wasn’t living up to its potential. Like many compliance programs there were a slew of manual processes, incidents going unreported and trainings that were conducted few and far between.

1. Healthcare Service Provider to Pay $60 Million to Settle Medicare and Medicaid False Claims Act Allegations - A major U.S. hospital service provider, TeamHealth Holdings, as successor in interest to IPC Healthcare Inc., f/k/a IPC The Hospitalists Inc. (IPC), has agreed to resolve allegations

1. The University of California at Riverside’s Pilot Payroll Certification System Did Not Provide Accountability Over Payroll Charges to Federal Awards (A-04-13-01026) -

1. OIG report: Vidant Medical Center Incorrectly Billed Medicare Inpatient Claims with Severe Malnutrition (A-03-15-00011) - Vidant Medical Center (the Hospital), in Greenville, North Carolina, complied with Medicare billing requirements for diagnosis codes 261 and 262 for 11 of the 100 claims that...

1. Houston doctor is eighth person convicted in $13 million healthcare fraud case: A Houston physician was convicted in federal court Wednesday for his role in a $13 million fraudulent Medicare billing scheme involving hundreds of patients-for-hire.

1. Rio Grande Valley Area Doctor Charged in Illegal Kickback Scheme - McALLEN, Texas ‐ A Rio Grande Valley area doctor has been taken into custody for his scheme to solicit and obtain illegal kickbacks in exchange for Medicare patient referrals, announced U.S. Attorney Kenneth Magidson.

1. Shire PLC Subsidiaries to Pay $350 Million to Settle False Claims Act Allegations - The Justice Department announced today that Shire Pharmaceuticals LLC and other subsidiaries of Shire plc (Shire) will pay $350 million to settle federal and state False Claims Act allegations