Healthicity Blog

1. Attorney General Announces Two Medicaid Behavioral Health Fraud Convictions -

It’s that time again. The OIG has updated their work plan with January 2019 additions. Here are some of the recent items I thought you’d find of interest.

1. Colorado Hospital Pays $111,400 for Failure to Terminate Former Employee’s Access to ePHI -

Chiropractic services are regular targets of audits by government agencies including Medicare, Medicaid, and the OIG.

1. United States Joins False Claims Act Lawsuit Against Wheeling Hospital, R & V Associates, and Ronald Violi Based on Improper Payments and Kickbacks to Physicians –

The OIG’s most recently published report reveals its findings of overpayments associated with HBO (and they’re not talking about the cable channel).

As 2018 comes to an end, compliance professionals are gearing up for 2019 by reading up on rules and regulations, planning to conduct a risk assessment and putting their work plans together.

1. Former Maryland Physician Agrees to Pay $400,000 to the United States to Resolve Allegations of Fraudulent Billing for Psychotherapy Services –