Healthicity Blog

When a lot of healthcare organizations consider their risk under the False Claims Act, they often think of coding and billing errors submitted on 1500s or UBs. It’s probably the first place I’d consider looking as well for the greatest risk to a Medicare or Medicaid healthcare provider.

Recently, compliance failures cost Florida physicians over $4 million dollars and resulted in a multi-million dollar settlement for a Tennessee hospital. The message is clear: compliance is no joke.

1. Fort Worth Brothers Admit Role in $36 Million Lab Test Kickback Scheme - Two Fort Worth men pleaded guilty Friday afternoon to playing a role in an alleged $36 million fraud scheme involving unnecessary lab tests of saliva and urine that were billed to the U.S. military’s health care system.

You want to improve your compliance program but just don’t have the time for a total overhaul at the moment. Well, have no fear, because there are a few small tweaks you can make that can have a huge impact on your program. And the good news is that it’s easier than you think.

1. Three Companies and Their Executives Pay $19.5 Million to Resolve False Claims Act Allegations Pertaining to Rehabilitation Therapy and Hospice Services

The DOJ just announced its biggest healthcare enforcement action in history. Compliance personnel will definitely want to know the details since over 100 physicians, nurses or other clinicians were individually indicted.

1. Justice Department reaches first settlement with opioid manufacturer - “The Justice Department and Mallinckrodt Pharmaceuticals reached a $35 million settlement Tuesday to resolve allegations that the company failed to report signs that large quantities of its highly addictive oxycodone pills...

On July 13, 2017, the Department of Justice (DOJ) announced the largest healthcare fraud takedown in history.