Healthicity Blog

According to a recent post on Justice.gov, “A Detroit, Michigan-area doctor was sentenced to 72 months in prison today for his role in a $10.4 million conspiracy to defraud the Medicare program.”

As a compliance officer working in the healthcare industry, I’ve heard it all. I’ve been given great compliance advice from wonderful mentors and supervisors.

Last week, I blogged about State Inspectors General in an attempt to draw attention to the efforts states are taking to combat fraud, waste and abuse in healthcare.

Which entity is the largest grant-making organization in the federal government? If you guessed HHS, then you are right. HHS provides more grants than any other group in the federal government. And as most compliance officers know, risk and enforcement tends to follow the money.

The New Year is right around the corner and most of us have a lot to do to prepare for next year.

Conducting effective internal investigations is an acquired skill; you’ve got to think like James Bond.

“Compliance professionals were people before they were in compliance,” Rudy Green joked when I sat down with him for our most recent episode of Compliance Conversations.

1. Former General Counsel of Company That Operates Health Maintenance Organizations in Several States Sentenced to Prison for Role in $35 Million Health Care Fraud Scheme -