Healthicity Blog

We received a lot of great questions during our Conflicts of Interest Webinar.

We’ve highlighted the significance of this case in previous webinars and blog posts, but now we know that it’s at least $3 million dollars more significant than it was before.

There are many requirements for attesting to Meaningful Use in 2016. For most providers, they will be following Meaningful Use Modified Stage 2 requirements which includes 9 criteria for eligible hospitals and 10 requirements for eligible providers.

1. Fort Myers doc pays $250K Medicare Fraud Settlement - “A Fort Myers urologist implicated in a multimillion-dollar federal investigation of 21st Century Oncology's billings to the Medicare and Tricare programs, will pay $250,000 to resolve allegations against him”

A few years ago, a provider called me for help. He was being audited and the payer had told him that he owed 100K in overpaid claims. We did a review and immediately saw the problem. He did, in fact, owe the money to the insurance company.

It’s not unusual to read about large, multi-million dollar settlements for alleged healthcare fraud and abuses.

Take the time to calculate your hospital's incentive payment. It’s important.

As we discussed in our previous incident management posts, your compliance program doesn’t need to be perfect, but rather, it needs to be “generally effective” in preventing non-compliance.