Healthicity Blog

Though many CIAs read very similarly, it’s good practice to read new ones to reaffirm some of the core principles of an effective compliance program.

In May of 2017, two Southwest Missouri health care organizations agreed to pay the United States $34,000,000 to settle allegations that they violated the False Claims Act by engaging in inappropriate financial relationships with referring physicians, wrote the US Department of Justice.

1. Jacksonville Cardiovascular Practice Agrees To Pay More Than $440,000 To Resolve False Claims Act Allegations For Failing To Reimburse Government Health Care Programs -

The OIG has added some more items to their work plan for this month, October 2017. Some of these new items may interest you. Staying informed is a large part of maintaining an effective compliance program.

“Any company or individual receiving anything of value in exchange for referrals should understand that their actions may have serious legal and financial consequences.”

Coding audits are the heartbeat of any compliance program. That’s why staying on track with your audit is essential to your program's success.

Those of you who have been following my work on the Healthicity blog, my webinars and/or speaking engagements know that one of my topics of choice is the government's increased efforts to hold individuals, not just organizations, accountable for suspected non-compliance.

1. Medicare Compliance Review of Parkridge Medical Center, Inc., for 2014 and 2015 - “Medicare Compliance Review of Parkridge Medical Center, Inc., for 2014 and 2015 Parkridge Medical Center, Inc. (the Hospital), located in Chattanooga, Tennessee, complied with Medicare billing requirements for 88...