Healthicity Blog

We all “report up” to somebody at some point and that goes for the OIG, too, in their regular reports to Congress. Recently, the OIG submitted its Semiannual Report to Congress for the period of Oct. 1, 2016 to March 31, 2017.

1. Retina surgeon’s AMD regimen at center of Medicare fraud case: Earlier this month, a jury convicted West Palm Beach retina surgeon Solomon Melgen, MD, on 67 counts of Medicare fraud.

Healthcare fraud and abuse are hot topics right now, it’s more important than ever to get on top of new codes and keep your practice audit-ready. Knowledge is power. This handy list will help you update CPT codes and stay current. Educate providers and staff using the following auditing resources.

“…let me be clear: healthcare fraud is a priority for the Department of Justice,” is how Kenneth Blanco, acting Assistant Attorney General of the DOJ’s Criminal Division, began his speech on May 18, 2017, at the Institute on Health Care Fraud of the American Bar Association.

Hey compliance peeps! I’m pretty excited about this deeper than the headlines topic this week because I’m pretty sure you folks are going to be into it because it will make you look like a total rockstar and help you nail compliance.

1. Overlooking risks leads to breach, $400,000 settlement - If you’re a compliance officer like me, you already know that overlooking risks will probably lead to a breach.

Uh-oh. Foot problems are turning into legal difficulties for a Michigan podiatrist and things are not looking good.

A 70-year old Louisiana physician pleaded guilty on April 10 to conspiracy to pay and receive illegal healthcare kickbacks. He’ll be sentenced later this year in July and faces a maximum term of imprisonment of five years, a $250,000 fine, and three years of supervised release following...