Healthicity Blog

In this ICD-10 cartoon suggested by Joan Weeks-Dolan, Ada goes to the beach with her best friend Rhonda. Ada and Rhonda are having the time of their lives, splashing in the water, cruising on a jetski, enjoying the sun, until, well, just take a look for yourself...

1. East Tennessee pharmacist indicted on healthcare fraud charges - “A Claiborne County grand jury indicted a New Tazewell pharmacist for healthcare fraud charges in October. Joseph “Jess” Collins, 56, of Middlesboro, Ky., is charged with TennCare fraud, insurance fraud and computer crimes. Each...

For calendar year 2017, the Centers for Medicare & Medicaid Services (CMS) have finalized updated payment rates and policy changes in the Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System.

Most doctors read medical journals to stay abreast of the most current treatment options or cutting edge research about advancements in clinical care. And more and more physicians are seeing articles in their medical journals about compliance, fraud and abuse.

In this episode of Compliance Conversations, Cj Wolf sits down with Security and Privacy expert, Steve Spearman, to chat about ways healthcare practices can protect themselves from security and privacy threats.

One of the very first HIPAA Security regulations is, “Assigned Security Responsibility” 164.308(a)(2). This regulation requires every Business Associate and every covered entity to have a designated HIPAA Security Officer.

1. Federal prosecutors accuse local medical practice of fraud - “A local medical group that treats patients with cancer and blood disorders took illegal kickbacks and filed false Medicare claims, according to a complaint filed by federal prosecutors…Prosecutors allege two illegal schemes.

In Medicare and Medicaid services, managed care plans fall under Part C, a Medicare Advantage plan alternative to Parts A and B. Medicare Advantage plans often include integrated self-administered drug coverage similar to the standalone Part D prescription drug benefit plan.