Healthicity Blog

Developing an effective audit plan can be a daunting task. Despite this, some medical practices still choose to assign these crucial responsibilities to someone whose plate is already overflowing.

“Although compliance program design is not a “one size fits all” issue, Boards are expected to put forth a meaningful effort....”.

We all know the value of getting your board on board with compliance.

1. Houston doctor is eighth person convicted in $13 million healthcare fraud case: A Houston physician was convicted in federal court Wednesday for his role in a $13 million fraudulent Medicare billing scheme involving hundreds of patients-for-hire.

1. Rio Grande Valley Area Doctor Charged in Illegal Kickback Scheme - McALLEN, Texas ‐ A Rio Grande Valley area doctor has been taken into custody for his scheme to solicit and obtain illegal kickbacks in exchange for Medicare patient referrals, announced U.S. Attorney Kenneth Magidson.

1. Shire PLC Subsidiaries to Pay $350 Million to Settle False Claims Act Allegations - The Justice Department announced today that Shire Pharmaceuticals LLC and other subsidiaries of Shire plc (Shire) will pay $350 million to settle federal and state False Claims Act allegations

“Open wide and say….Compliance”

Most of my blog posts reporting on settlements involve medical professionals or providers. It’s important to recognize that dental providers are also not immune to compliance woes.

1. Kelly Loter, 48, the owner of Dallas’ Level Two advertising firm, has admitted his role in what he describes as a massive healthcare fraud scheme.

The OIG has stated, “every Board is responsible for ensuring that its organization complies with relevant Federal, State, and local laws.”