Healthicity Blog

The DOJ recently published this document, which provides additional insight into their practices of evaluating compliance programs.

Back in the 1980’s, Larry Plutko started his career in Healthcare and by the 90’s found himself fascinated by compliance. In 2008, he accepted a position of compliance officer in Austin, Texas, where he became an important career mentor to me.

1. The University of California at Riverside’s Pilot Payroll Certification System Did Not Provide Accountability Over Payroll Charges to Federal Awards (A-04-13-01026) -

1. OIG report: Vidant Medical Center Incorrectly Billed Medicare Inpatient Claims with Severe Malnutrition (A-03-15-00011) - Vidant Medical Center (the Hospital), in Greenville, North Carolina, complied with Medicare billing requirements for diagnosis codes 261 and 262 for 11 of the 100 claims that...

1. Houston doctor is eighth person convicted in $13 million healthcare fraud case: A Houston physician was convicted in federal court Wednesday for his role in a $13 million fraudulent Medicare billing scheme involving hundreds of patients-for-hire.

1. Rio Grande Valley Area Doctor Charged in Illegal Kickback Scheme - McALLEN, Texas ‐ A Rio Grande Valley area doctor has been taken into custody for his scheme to solicit and obtain illegal kickbacks in exchange for Medicare patient referrals, announced U.S. Attorney Kenneth Magidson.

1. Shire PLC Subsidiaries to Pay $350 Million to Settle False Claims Act Allegations - The Justice Department announced today that Shire Pharmaceuticals LLC and other subsidiaries of Shire plc (Shire) will pay $350 million to settle federal and state False Claims Act allegations

“Open wide and say….Compliance”

Most of my blog posts reporting on settlements involve medical professionals or providers. It’s important to recognize that dental providers are also not immune to compliance woes.