Healthicity Blog

1. Physician Sentenced to Prison for False Billing Scheme –

If you’re a compliance professional at a hospital you are probably aware of the series of compliance reviews that the OIG has been performing for many years.

Compliance formed and quickly evolved since the 1980s after the government paid for hammers that were billed at $435 each and $640 toilet seats and fraud was reported for the Department of Defense contractors.

1. Clermont Eye Doctors Agree To Pay Over $157,000 To Settle False Claims Act Liability For Improperly Billing Medicare –

As compliance professionals, many of us are acutely aware of the published Corporate Integrity Agreements (CIA) that the OIG publishes on their website.

In the previous blog, we discussed general coding guidelines. In this blog, we will review chapter-specific coding guideline beginning with chapter 1

1. Columbus Home Health Care Provider Sentenced for Fraud COLUMBUS, Ohio – “The co-owner of Alpha Star Health Care Inc. was sentenced today in federal court to 18 months in prison for running home health care fraud and tax fraud schemes.” Get the full scoop >>

Performing coding and documentation audits are crucial to an effective compliance plan