Healthicity Blog

Attendees of our recent webinar, An Expert's Tips and Best Practices for Using 99211, had a lot questions about the use of the 99211 code that we didn't have time to answer during the presention. As promised, here are the answers to the questions we didn't get to.

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...

Developing an effective audit plan can be a daunting task. Despite this, some medical practices still choose to assign these crucial responsibilities to someone whose plate is already overflowing.

Most of us by now have heard of the Yates’ Memo that directs the Department of Justice attorneys to hold individuals accountable for inappropriate actions associated with corporate wrongdoing. Since the memo, there’s been an increase of corporate accountability in the headlines, which demonstrates...

“Although compliance program design is not a “one size fits all” issue, Boards are expected to put forth a meaningful effort....”.

We all know the value of getting your board on board with compliance.

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.

In December of 2016, the U.S. Attorney’s Office for the Southern District of Florida announced a $12 million settlement with South Miami Hospital regarding allegations of medically unnecessary cardiac electrophysiology studies and other procedures allegedly performed by John R. Dylewski, M.D.

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.