Healthicity Blog

On July 12, 2018, CMS published its annual update of the Medicare Physician Fee Schedule.

The OIG has added new work plan items in July 2018. I’ve detailed the items I find the most interesting below.

The National Correct Coding Initiative (NCCI) is a program designed by the Centers for Medicare and Medicaid Services to prevent overpayment or improper payment of procedures that should not be submitted together.

The DOJ and OIG recently announced the 2018 Fraud Takedown which resulted in charges against 601 individuals responsible for over $2 Billion in fraud, according to the federal government

1. Healogics Agrees to Pay Up to $22.51 Million to Settle False Claims Act Liability for Improper Billing of Hyperbaric Oxygen Therapy –

In June 2018, the OIG added more items to its work plan. Here’s a quick summary of some of those newly added items

1. Nurse Practitioner Pleads Guilty in Compounding Pharmacy Fraud Scheme –

1. Signature HealthCARE to Pay More Than $30 Million to Resolve False Claims Act Allegations Related to Rehabilitation Therapy –