Healthicity Blog

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.

Performing coding and documentation audits are crucial to an effective compliance plan

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?

1. Contractor physicians’ Group Shares PHI with Vendor Without a Business Associate Agreement (BAA) -