Healthicity Blog

The OIG recently posted new work plan items in their May 2018 update online. There are two items in particular that I think all of you need to know more about.

1. Ohio Hospital Operator Agrees to Pay United States $14.25 Million to Settle Alleged False Claims Act Violations Arising From Improper Payments to Physicians –

As compliance professionals, we tend to focus on large dollar settlements to raise awareness within our organization. These type of events can definitely make some executives pay attention.

1. Lewiston-Auburn Men Indicted for Health Care Fraud – “United States Attorney Halsey B. Frank announced today that a federal Grand Jury sitting in Portland handed down an indictment

Ever wonder how the OIG investigates fraud? What do they look for? What challenges to they face?

Many Tribal programs receive funds from the Department of Health and Human Services (HHS). Have you ever wondered if you’re meeting all the requirements to protect that revenue stream and the beneficiaries it’s intended to serve?

1. Oahu Physical Therapist Pleads Guilty To HealthCare Fraud –

Everyone has to report to someone, even the OIG, and one way the OIG reports is via testimony before Congress. The latest of such testimony was given on April 12, 2018, by Megan H. Tinker, Senior Advisor for Legal Review.