Healthicity Blog

Most healthcare fraud and abuse cases settle before ever going to trial. However, when they occasionally do go to trial, the outcomes can be as varied as the facts and circumstances of a specific case. A recent trial in Houston didn’t turn out so well for Dr. Ronald Kahn, a Houston physician.

On July 13, 2017, the Department of Justice (DOJ) announced the largest healthcare fraud takedown in history.

1. 3 Ways To Measure The Effectiveness Of Your Compliance Program: It’s important to have an effective compliance program but sometimes it can be pretty difficult to measure the success.

“What are the first steps I should take to improve my compliance program right now?”

To put it simply: The more you know, the better off you’ll be. A great compliance program starts with knowledge of compliance, rules and regulations, and best practices.

It’s always interesting to hear a doctor’s perspective on compliance, but it’s even more interesting when that doctor happens to be the OIG’s Chief Medical Officer. I had the pleasure of hearing her, Julie Taitsman, MD, JD, speak at the HCCA’s Regional Compliance Conference this May in New York...

Compliance officers have a lot to juggle. Incident management, internal auditing and monitoring, and enforcing standards, are just a few of the things you need to master. Plus, it seems like new guidelines are emerging from every corner.

“…let me be clear: healthcare fraud is a priority for the Department of Justice,” is how Kenneth Blanco, acting Assistant Attorney General of the DOJ’s Criminal Division, began his speech on May 18, 2017, at the Institute on Health Care Fraud of the American Bar Association.

In my newest episode of Compliance Conversations, I sat down with Attorney, Sean McKenna, for an enlightening chat about how healthcare organizations can beef up their compliance programs to avoid enforcement action.