Healthicity Blog

For this episode of Compliance Conversations, I sat down with Chad Peterson, a senior consultant at a large hospital, in their professional coding and reimbursement group. He educates physicians, mid-level providers/ advanced practice providers and even ancillary staff about E/M coding.

1. Vanderbilt University Medical Center pays $6.5M to resolve Medicare fraud allegations: “Vanderbilt University Medical Center paid $6.5 million to settle a whistleblower suit alleging VUMC committed Medicare fraud between 2003 and 2011, according to a Tennessean report.

Ada recently set out to learn how to knit. Knitting is known for bringing a sense of calm joy to practitioners. It’s something to do with your hands, a way to relax, unwind, all while creating interesting gifts (some lovely, some weird) for your friends and loved ones. A table doily, some baby...

340B Drug Pricing Program

The 340B drug pricing program was authorized by Congress in 1992 to generate savings for certain safety-net healthcare providers by allowing them to purchase outpatient drugs at discounted prices. It is estimated that the savings to 340B providers attributable to the...

The Centers for Medicare and Medicaid Services (CMS) issued the Reform of Requirements or Long-Term Care Facilities in 2016 with a three-part phased implementation.

1. Three Companies and Their Executives Pay $19.5 Million to Resolve False Claims Act Allegations Pertaining to Rehabilitation Therapy and Hospice Services

Everyone is talking (and panicking) about Hierarchical Condition Categories (HCCs) lately and for good reason: HCCs are progressively being applied to numerous healthcare reform initiatives and it’s pretty confusing.

Most healthcare fraud and abuse cases settle before ever going to trial. However, when they occasionally do go to trial, the outcomes can be as varied as the facts and circumstances of a specific case. A recent trial in Houston didn’t turn out so well for Dr. Ronald Kahn, a Houston physician.