Healthicity Blog

$1 Billion Dollar Fraud Bust

The Department of Health and Human Services has an annual portfolio of services that totals over $1.2 trillion.

1. Decatur Hospital Authority, d/b/a Wise Health System in Decatur, Texas Will Pay $431,182.96 to the United States

In May 2019, the OIG released audits they’d performed on Home Care agencies. In the end, they reached the conclusion that numerous services were out of compliance.

1. Former CEO of Hospital Chain to Pay $3.46 Million to Resolve False Billing and Kickback Allegations –

As compliance officers, we assess and discuss risks.

1. Medicare Advantage Provider to Pay $30 Million to Settle Alleged Overpayment of Medicare Advantage Funds –

Work Plan Additions for May 2019

For May 2019, there are only two OIG Work Plan additions.