Healthicity Blog

1. McDonough woman pleads guilty to Medicaid fraud, ordered to pay $3.8 million – “The owner of a former Henry County mental health services business will have to pay $3.8 million in restitution to the Georgia Medicaid Program for alleged Medicaid fraud.

“Any company or individual receiving anything of value in exchange for referrals should understand that their actions may have serious legal and financial consequences.”

Compliance experts recommend that healthcare organizations conduct regular assessments to maintain compliance.

Coding audits are the heartbeat of any compliance program. That’s why staying on track with your audit is essential to your program's success.

Those of you who have been following my work on the Healthicity blog, my webinars and/or speaking engagements know that one of my topics of choice is the government's increased efforts to hold individuals, not just organizations, accountable for suspected non-compliance.

In our latest Compliance Conversations episode, I sat down with product development expert, Jeff Young, to discuss tools that can simplify compliance and make you more effective as a compliance officer.

The OIG has updated their work plan in the last year more frequently than in the past and recently added nine more items in September of 2017. Anytime the OIG updates their work plan, I think it’s important to take a deep dive into the new content.

The field of compliance isn’t as simple as hiring honest people who will hopefully “always obey the rules.” In fact, careful hiring doesn’t constitute a compliance plan at all.