Healthicity Blog

Last week, I blogged about State Inspectors General in an attempt to draw attention to the efforts states are taking to combat fraud, waste and abuse in healthcare.

1. Attorney General Josh Stein Announces Sentencing In Fayetteville/Raeford Medicaid Fraud Case –

Are you sure that your procedure audits are thorough? Increase audit accuracy and streamline your audit process with procedure checklists.

We talk a lot about the OIG. So much so that we use the term “OIG” to generally mean the OIG for the Federal Department of Health and Human Services. It is important to stay on top of the Federal OIG work plan, audits, investigations and other initiatives.

This week on Compliance Conversations: I asked compliance and healthcare law expert Marci Swenson, “what do you think the hot topics will be for 2018.” And she gave us two answers: benchmarking and cyber security.

1. Kmart Corporation to Pay U.S. $32.3 Million to Resolve False Claims Act Allegations for Overbilling Federal Health Programs for Generic Prescription Drug -

A patient’s history is a critical component to a physician for determining the etiology of a patient's problem. That’s why a history of present illness (HPI) is required in some form for every Evaluation and Management service.

Which entity is the largest grant-making organization in the federal government? If you guessed HHS, then you are right. HHS provides more grants than any other group in the federal government. And as most compliance officers know, risk and enforcement tends to follow the money.