Healthicity Blog

In early February of this year, I wrote an eBrief predicting the future of compliance under the new Presidential administration. My guess was that regulatory burdens would decrease.

A 70-year old Louisiana physician pleaded guilty on April 10 to conspiracy to pay and receive illegal healthcare kickbacks. He’ll be sentenced later this year in July and faces a maximum term of imprisonment of five years, a $250,000 fine, and three years of supervised release following...

At the recent HCCA Compliance Institute, the OIG announced a new resource guide entitled, “Measuring Compliance Program Effectiveness.” The new resource guide contains over 400 examples of measures, categorized by the seven elements of an effective compliance program.

When most of us hear “False Claims Act,” we usually think of the Federal False Claims Act (FCA).

1. Miami-Based Physician Charged for Role in Pain Pill Diversion and Medicare Fraud Scheme -

At the end of 2016 I posted a blog about the unsealing of an indictment of 21 individuals allegedly involved in a $40 million bribe and kickback scheme involving Forest Park Medical Center Dallas (FPMC).

Last week, the OIG posted a report of their Medicare Compliance Review of the University of Florida Health Jacksonville Hospital. This is the most recent of many similar reports.

We hear a lot about fraud and abuse involving the Medicare program, and rightfully so. But because Medicaid programs are state-run, we may not hear of Medicaid issues unless they are in the news, in the state we live or work in.