Healthicity Blog

We hear a lot about fraud and abuse involving the Medicare program, and rightfully so. But because Medicaid programs are state-run, we may not hear of Medicaid issues unless they are in the news, in the state we live or work in.

A few months ago, we conducted a survey of 1,200 healthcare executives. Some of the challenges reflected in the survey might be the very things that are currently keeping you up at night.

1. Administrator of Miami - Area Home Health Agency Sentenced to 126 Months in Prison for Involvement in $2.5 Million Medicare Fraud Scheme -

So, you’ve done your homework and hired a rock star coder to improve your bottom line. You’ve found the perfect person, someone with knowledge, initiative, critical thinking skills and precise communication.

If you’re anything like me, you are really looking forward to the HCCA’s annual Compliance Institute this month in National Harbor, MD. In addition to seeing colleagues and networking, it’s a great place to hear multiple perspectives on healthcare compliance.

When Trent Stechschulte joined Equitas Health as their Compliance Officer, he discovered a compliance program that wasn’t living up to its potential. Like many compliance programs there were a slew of manual processes, incidents going unreported and trainings that were conducted few and far between.

1. Healthcare Service Provider to Pay $60 Million to Settle Medicare and Medicaid False Claims Act Allegations - A major U.S. hospital service provider, TeamHealth Holdings, as successor in interest to IPC Healthcare Inc., f/k/a IPC The Hospitalists Inc. (IPC), has agreed to resolve allegations

President Trump’s words might lead us to believe we’re heading towards an “anti-regulation” future. But I think the foundations of compliance programs will remain intact.