Healthicity Blog

1. Tulsa Doctor Will Pay $84,666 for Allegedly Engaging in an Illegal Kickback Scheme –

1. Prime Healthcare Services and CEO, Dr. Prem Reddy, to Pay $1.25 Million to Settle False Claims Act Allegations –

In February 2019, the OIG has made multiple additions to its Workplan.  There are some significant additions, so let’s look at a few of them.

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

Medicare pays physicians based on diagnostic and procedure codes derived from medical documentation.

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.

1. Physician Sentenced to Prison for False Billing Scheme –

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.