Healthicity Blog

1. Billing Company Owner Sentenced to Prison for Fraud -

1. Genetic Testing Company Agrees to Pay $1.99 Million to Resolve Allegations of False Claims to Medicare for Medically Unnecessary Tests –

For a Medicare patient to be eligible for coverage of post-hospital extended care services, they must be an inpatient in a hospital for not less than 3 consecutive calendar days before being discharged from the hospital.

If you’re a compliance professional at a hospital you are probably aware of the series of compliance reviews that the OIG has been performing for many years.

In November, the OIG published their Semiannual Report to Congress.

1. Medicare Advantage Provider to Pay $270 Million to Settle False Claims Act Liabilities –

According to the OIG’s most recent, published report, many inpatient rehabilitation facility (IRF) stays did not meet Medicare coverage and documentation requirements.

1. Signature HealthCARE to Pay More Than $30 Million to Resolve False Claims Act Allegations Related to Rehabilitation Therapy –