Healthicity Blog

1. Medicare Advantage Provider to Pay $270 Million to Settle False Claims Act Liabilities –

Auditing for E/M Consultation Services has been confusing auditors for years.

According to the OIG’s most recent, published report, many inpatient rehabilitation facility (IRF) stays did not meet Medicare coverage and documentation requirements.

A well-rounded compliance officer will understand best practices in auditing standards so they can make sure their organization is shining.

1. Port Charlotte Doctor Sentenced To Five Months In Prison For Obstruction Of An Audit Tampa, Florida –

Is your compliance program diligently performing its exclusions’ checks against sanctioned individuals?  Does it seem like a mundane task that hardly ever turns up an excluded individual?

1. Port Charlotte Doctor Sentenced To Five Months In Prison For Obstruction Of An Audit Tampa, Florida –

Pressure Ulcers are injuries to the skin and underlying tissue. You’ve probably seen them fairly often in the patient’s medical record referred to as “bed sores” or “pressure wounds” or “decubitus ulcers.”