Healthicity Blog

1. Mental Health Center to Pay $4 Million under AG Settlement for Illegally Billing MassHealth for Unlicensed Patient Care –

A little over a month ago, I blogged about the OIG guidance regarding compliance requirements and risks associated with grants.

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

For years, the OIG has been performing Hospital Compliance Reviews that are essentially data-driven billing analyses of inpatient and outpatient reimbursement.

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.

Last week, I blogged about State Inspectors General in an attempt to draw attention to the efforts states are taking to combat fraud, waste and abuse in healthcare.

1. Attorney General Josh Stein Announces Sentencing In Fayetteville/Raeford Medicaid Fraud Case –

We talk a lot about the OIG. So much so that we use the term “OIG” to generally mean the OIG for the Federal Department of Health and Human Services. It is important to stay on top of the Federal OIG work plan, audits, investigations and other initiatives.