Healthicity Blog

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.

1. Most Hated Man in Healthcare’ Trial Underway: “Martin Shkreli, the ‘most hated man in healthcare,’and former pharmaceutical executive who gained notoriety for hiking up the price of a life-saving drug, will finally go on trial Monday on charges of ripping off investors.”

1. Genesis Healthcare agrees to pay $53.6M to settle fraud allegation - “Pennsylvania-based Genesis Healthcare Inc. has agreed to pay the federal government $53.6 million to settle six False Claims Act lawsuits that accused the company of defrauding government healthcare programs.

1. Retina surgeon’s AMD regimen at center of Medicare fraud case: Earlier this month, a jury convicted West Palm Beach retina surgeon Solomon Melgen, MD, on 67 counts of Medicare fraud.

1. Missouri Hospitals to pay U.S. $34m to settle alleged false claims: Two Southwest Missouri health care providers have agreed to pay the United States $34,000,000 to settle allegations that they violated the False Claims Act by engaging in improper financial relationships with referring...

Healthcare fraud and abuse are hot topics right now, it’s more important than ever to get on top of new codes and keep your practice audit-ready. Knowledge is power. This handy list will help you update CPT codes and stay current. Educate providers and staff using the following auditing resources.