Healthicity Blog

1. Retina surgeon’s AMD regimen at center of Medicare fraud case: Earlier this month, a jury convicted West Palm Beach retina surgeon Solomon Melgen, MD, on 67 counts of Medicare fraud.

Vacation season is finally upon us and nobody is more excited than Ada. After months of dreaming of the beach, she splurged on a roundtrip ticket to beautiful Florida. Thoughts of the crystal clear water, sandy beaches, lovely locals have her feeling giddy and energized.

It’s always interesting to hear a doctor’s perspective on compliance, but it’s even more interesting when that doctor happens to be the OIG’s Chief Medical Officer. I had the pleasure of hearing her, Julie Taitsman, MD, JD, speak at the HCCA’s Regional Compliance Conference this May in New York...

Often, compliance officers are left alone in their own department to do their own things. It can become a little isolating. So, it’s always important to find a trusted person to talk with about compliance issues.

Compliance officers have a lot to juggle. Incident management, internal auditing and monitoring, and enforcing standards, are just a few of the things you need to master. Plus, it seems like new guidelines are emerging from every corner.

1. Missouri Hospitals to pay U.S. $34m to settle alleged false claims: Two Southwest Missouri health care providers have agreed to pay the United States $34,000,000 to settle allegations that they violated the False Claims Act by engaging in improper financial relationships with referring...

Healthcare fraud and abuse are hot topics right now, it’s more important than ever to get on top of new codes and keep your practice audit-ready. Knowledge is power. This handy list will help you update CPT codes and stay current. Educate providers and staff using the following auditing resources.

“…let me be clear: healthcare fraud is a priority for the Department of Justice,” is how Kenneth Blanco, acting Assistant Attorney General of the DOJ’s Criminal Division, began his speech on May 18, 2017, at the Institute on Health Care Fraud of the American Bar Association.