Healthicity Blog

Academic medical centers often have unique risks associated with their services.  As a result, their compliance programs need to be designed to account for these risks. 

The U.S. Department of Health and Human Services Office of Inspector General (OIG) added a large number of new items to its Work Plan in July – more than previous months. Let's take a closer look at some key highlights.

A quick riddle for you. What totaled $12.59 billion over the course of 14 million transactions?  The answer: payments made to physicians and teaching hospitals in 2022 from industries such as medical device and pharmaceutical companies.

Written policies and procedures are often listed as the first element of an effective compliance program. Though all the elements really work together, and no singular element is necessarily more important than another, it does make sense to list written policies and procedures as the first element.

The U.S. Health and Human Services Office of Inspector General (OIG) recently signaled an even stronger focus on nursing homes. The OIG plans to more closely scrutinize nursing home compliance in their work plans, audits, and oversight.

Can you believe we’re heading into the second half of 2023? This year is moving faster than you can say “HIPAA.”

Let’s take a look at the areas on the U.S. Department of Health and Human Services Office of Inspector General’s (OIG) radar in May 2023.

Depression and psychiatric conditions are relatively common in the elderly and nursing home residents. Effective treatments for these conditions can include medications, as well as psychotherapy. However, compliance professionals need to be aware of proper medical necessity, coding, and...