Healthicity Blog

A few weeks ago, we presented a webinar on the impact of the 60-day overpayment rule since its release two years ago. We had so many questions at the end of the webinar, we couldn’t get to all of them.

According to a recent post on Justice.gov, “A Detroit, Michigan-area doctor was sentenced to 72 months in prison today for his role in a $10.4 million conspiracy to defraud the Medicare program.”

1. Roseville Dermatologist Accused Of Billing Patients For Procedures Never Performed –

The OIG has updated their work plan with its January 2018 additions. Let’s take a deep dive into the updates and what they mean for you as a compliance professional.

1. Michigan clinic office manager pleads guilty to $131M healthcare fraud scheme -

1. Kmart Corporation to Pay U.S. $32.3 Million to Resolve False Claims Act Allegations for Overbilling Federal Health Programs for Generic Prescription Drug -

1. Virgil Dickson, Regulatory and Policy Reporter at Modern Healthcare

Most recent piece: Medicare Sticks with Mandatory Bundled-Pay Demo, But Tom Price Likely to Intervene.

1. Medicare Fails To Recover Hundreds Of Millions Of Dollars In Lab Overcharges - “Five years ago, Companion DX Reference Lab hoped to cash in on cutting-edge genetic tests paid for by Medicare.