Healthicity Blog

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.

Many of us have heard the phrase that those who cannot remember the past are condemned to repeat it. It seems this is proving true with a couple of recent healthcare compliance settlements.

What is 1557 and Why Comply?

Section 1557 builds on prior federal civil rights laws to prohibit sex discrimination in health care.

We’re back again this week with another roundup of hot compliance news. We’ve got lawsuits, fraud, illegal kickbacks, and some interesting words of wisdom from HCCA keynote speaker, Robert DeConti.

As many of you know, we’ve been releasing a lot of new stuff lately. We included audio files of our eBriefs, a new podcast, Compliance Conversations, and now, to keep the momentum going, we are launching an ICD-10 cartoon series, The Misadventures of Ada.

Robert DeConti, HHS OIG’s Assistant Inspector General for Legal Affairs, was one of the keynote speakers at the 2nd Annual HCCA Healthcare Enforcement Compliance Institute in Washington D.C. Mr. DeConti spoke on Monday, October 24, 2016, and summarized selected fraud and abuse trends by government...

It’s time to kick off the celebration!

Compliance and Ethics week is coming, November 6th-12th! Come celebrate with us as we explore the origin, evolution and future of compliance programs.