Healthicity Blog

Compliance metrics are super important. They help your organization evaluate compliance risk mitigation against your organizations accepted level of risk tolerance.

1. New York Doctor Sentenced To Four Years In Prison For Taking Bribes In Test - Referral Scheme With New Jersey Clinical Lab –

The OIG recently submitted their semiannual report to Congress. The report summarizes the significant work of the OIG for the reporting period covering October 1, 2017, to March 31, 2018.

1. Doctor Convicted in $8.9 Million Health Care Fraud Scheme –“A federal jury found a physician guilty today for her role in a scheme involving approximately $8.9 million in fraudulent Medicare claims

The OIG continues its voice of concern over opioid overutilization and misuse in the context of Medicare and Medicaid.

Let’s say you’re a Medicare Advantage organization and one day you receive a notification from CMS that you’ve been selected for a program audit. What should you do?

The OIG recently posted new work plan items in their May 2018 update online. There are two items in particular that I think all of you need to know more about.

CMS won’t be enforcing the Affordable Care Act’s Skilled Nursing Facilities compliance requirement until November of 2019.