Healthicity Blog

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.

1. Clermont Eye Doctors Agree To Pay Over $157,000 To Settle False Claims Act Liability For Improperly Billing Medicare –

As compliance professionals, many of us are acutely aware of the published Corporate Integrity Agreements (CIA) that the OIG publishes on their website.

Does your organization perform blood draws for laboratory tests? Do your lab technicians who draw blood ever need to travel to obtain the specimen from the patient?

If you are a provider of equipment or supplies to your patients, the latest OIG audit report will be of interest to you.