Healthicity Blog

The number of settlements with the government for issues of non-compliance are on the rise. And experts estimate that most physician practices are making mistakes.

1. Former Orange County lab Owner Sentenced to 8 Years for Healthcare Fraud –

For those of you unfamiliar with coding and billing, modifier -59 is a two-digit numeric code modifier that can be appended to a CPT or HCPCS procedure code, for example, and will frequently bypass many payor edits.

1. Influencer not Enforcer: How to Avoid the Dreaded Corporate Cop Image

When it comes to compliance, sometimes image is everything. How you’re perceived in your organization can either work for you or against you.

1. Missouri Hospital Settles Case Involving Patient Dumping Allegations - “On October 17, 2017, Southeast Missouri Hospital (SEM), Cape Girardeau, Missouri, entered into a $100,000 settlement agreement with OIG.

We all could use some advice every now and then, especially in the world of healthcare compliance.

1. Huntsville Nursing Home Pays the United States and the State of Texas $5 Million to Settle Claims Alleging Poor Quality of Care –

Though many CIAs read very similarly, it’s good practice to read new ones to reaffirm some of the core principles of an effective compliance program.