Healthicity Blog

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.

If you’re anything like me, you are really looking forward to the HCCA’s annual Compliance Institute this month in National Harbor, MD. In addition to seeing colleagues and networking, it’s a great place to hear multiple perspectives on healthcare compliance.

Over here at Healthicity, we’ve got some tricks up our sleeves.

You see, it’s our goal to create the best thought-leadership material out there because we want our readers, healthcare professionals like yourselves, to have all of the answers you need at your fingertips.

Recently, federal auditors reported that the University of Minnesota Medical Center needs to refund more than $3.2 million in estimated overpayments for services that were allegedly billed incorrectly to the Medicare program.

Organizations that fail to report overpayments within 60 days can be liable under the False Claims Act and may be subject to civil/criminal liabilities.

Tuomey, a community-based hospital in South Carolina, and the US government, recently resolved a False Claims Act judgement that resulted in a whopping $72 million dollar settlement.

It all started in 2005 when a physician at Tuomey decided to blow the whistle.

Having an effective compliance program is absolutely crucial but measuring the success of any compliance program can be difficult. Available measures of success are not always industry-specific.