Healthicity Blog

If your organization provides outpatient physical therapy services, it’s probably a good idea to become familiar with the OIG’s latest work in this area.

1. Malware Attack Causes Breach of 134,512 Patient Records – “A malware attack on St. Peter’s Surgery and Endoscopy Center in New York potentially gave hackers access to 134,512 patient records, which makes it the second-largest breach this year.

The OIG has added seven new items to their work plan in March 2018. Let’s look at a few of them a little more closely.

1. Doctor Sentenced for Healthcare Fraud, Accepting Kickbacks to Prescribe Highly Addictive Version of Fentanyl –

What do you do when you’re running an exclusion check on an employee or vendor and you receive a positive match? Does a positive match automatically mean that person can’t work for you?

It’s been almost a year and many compliance officers are still trying to figure out how to make use of the OIG Resource Guide.

EXAMPLES OF MODIFIER 59 ERRORS

Your organization is losing money. The OIG HHS reported that nearly 42% of Medicare claims for E/M services are incorrectly coded resulting in $6.7 billion in overpayments.

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.”