Healthicity Blog

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

1. Port Charlotte Doctor Sentenced To Five Months In Prison For Obstruction Of An Audit Tampa, Florida –

1. Port Charlotte Doctor Sentenced To Five Months In Prison For Obstruction Of An Audit Tampa, Florida –

1. Houston Psychiatrist Sentenced to More Than 12 Years in Prison for Role in $155 Million Medicare Fraud Scheme –

Everyone has a boss they answer to, even the OIG. The OIG is frequently reporting to their ultimate boss(es), the U.S. Congress and they often do so via the testimony they provide to various committees and subcommittees.

In June of 2018, Caris Healthcare agreed to pay $8.5 million to settle a false claims act lawsuit.

1. Four Individuals Charged In Widespread Scheme To Defraud Medicare And Other Health Insurance Providers Through Fraudulent Medical Corporations And False Billing Resulting In Tens Of Millions Of Dollars In Losses –

One of the most difficult jobs as an auditor isn’t keeping up with the constant changes in healthcare or trying to remember all the rules for the different Medicare carriers. It’s sitting down with a provider to discuss their audit results.