Healthicity Blog

Everyone has a boss they answer to, even the OIG. The OIG is frequently reporting to their ultimate boss(es), the U.S. Congress and they often do so via the testimony they provide to various committees and subcommittees.

In June of 2018, Caris Healthcare agreed to pay $8.5 million to settle a false claims act lawsuit.

1. Four Individuals Charged In Widespread Scheme To Defraud Medicare And Other Health Insurance Providers Through Fraudulent Medical Corporations And False Billing Resulting In Tens Of Millions Of Dollars In Losses –

You sit down and feel your jaw tighten, your pulse quicken, and your shoulders cramp up like you’ve slept on a boulder all night.

Every now and then we’ve reported on enforcement actions happening at the state level. As compliance professionals, we’re often drawn to the biggest headlines which most often occur because of federal enforcement.

One of the most difficult jobs as an auditor isn’t keeping up with the constant changes in healthcare or trying to remember all the rules for the different Medicare carriers. It’s sitting down with a provider to discuss their audit results.

The federal government is aggressively investigating and prosecuting healthcare providers for possible Anti-Kickback or Stark violations.

1. Ambulance Company and its Municipal Clients Agree to Pay Over $21 Million to Settle Allegations of Unlawful Kickbacks and Improper Financial Relationships –