Healthicity Blog

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.

“…let me be clear: healthcare fraud is a priority for the Department of Justice,” is how Kenneth Blanco, acting Assistant Attorney General of the DOJ’s Criminal Division, began his speech on May 18, 2017, at the Institute on Health Care Fraud of the American Bar Association.

1. Kentucky doctor sentenced in Medicaid fraud case: Big fraud in Kentucky. “A Kentucky doctor convicted of Medicaid fraud has been sentenced to five years in prison and ordered to pay more than $10,000 in restitution.

1. Coral Gables Woman Sentenced For Skimming Social Security And Medicaid Benefits From Mentally Ill And Elderly Beneficiaries - Tampa, FL – U.S. District Judge Mary S. Scriven has sentenced Ilfrenise Charlemagne (68, Coral Gables) to 33 months in federal prison for wire fraud.

When most of us hear “False Claims Act,” we usually think of the Federal False Claims Act (FCA).

1. MEDICARE FRAUD TRIAL SET FOR DOCTOR TIED TO MENENDEZ PROBE-WEST PALM BEACH, Fla. (AP) - “Many of the Medicare fraud charges against prominent Florida eye doctor Salomon Melgen are complicated, but one is simple

We hear a lot about fraud and abuse involving the Medicare program, and rightfully so. But because Medicaid programs are state-run, we may not hear of Medicaid issues unless they are in the news, in the state we live or work in.