Healthicity Blog

According to a recent post on Justice.gov, “A Detroit, Michigan-area doctor was sentenced to 72 months in prison today for his role in a $10.4 million conspiracy to defraud the Medicare program.”

1. Mental Health Center to Pay $4 Million under AG Settlement for Illegally Billing MassHealth for Unlicensed Patient Care –

There’s nothing more frustrating to a coder than spending a good part of their work day correcting common provider coding errors.

A little over a month ago, I blogged about the OIG guidance regarding compliance requirements and risks associated with grants.

1. Roseville Dermatologist Accused Of Billing Patients For Procedures Never Performed –

Auditing for critical care is confusing and takes some serious detective skills. Sherlock anyone?

I have over 30 years’ experience in the healthcare industry. During that time, I’ve experienced workplace stress, boredom, frustration and a whole host of other challenges.

For years, the OIG has been performing Hospital Compliance Reviews that are essentially data-driven billing analyses of inpatient and outpatient reimbursement.