Healthicity Blog

When most of us hear about OCR enforcement we immediately think about HIPAA, and rightfully so. There’s no doubt that HIPAA has definitely been a big enforcement area for OCR, but remember that OCR stands for the “Office for Civil Rights” and they oversee other areas of enforcement as well.

As a compliance officer working in the healthcare industry, I’ve heard it all. I’ve been given great compliance advice from wonderful mentors and supervisors.

1. Scripps Health to Pay $1.5 Million to Settle Claims for Services Rendered by Unauthorized Physical Therapists –

In November of 2017, I attended the annual AMA CPT and RBRVS 2018 Symposium (Whew! What a mouthful!) in Chicago where I learned a ton about the new and revised codes for this year.

The OIG has updated their work plan with its January 2018 additions. Let’s take a deep dive into the updates and what they mean for you as a compliance professional.

It’s been almost two years since CMS’ final rule on Reporting and Returning of Overpayments went into effect.

1. Michigan clinic office manager pleads guilty to $131M healthcare fraud scheme -

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.