Healthicity Blog

One of the seven elements of an effective compliance program is establishing a compliance officer.

It’s that time of year again! Compliance programs are performing annual risk assessments and creating annual audit work plans in preparation for 2018.

1. Meadows Regional Medical Center, Inc. and Affiliates To Pay Up To $12.875 Million To Resolve Alleged False Claims Act Violations -

For many years now the OIG has been performing Medicare Compliance reviews of hospitals.

1. New Orleans Woman Convicted for Role in $3.2 Million Medicare Kickback Scheme – “A federal jury found a New Orleans woman guilty today for her role in an approximately $3.2 million Medicare fraud and kickback scheme.

You’ve heard of the Federal False Claims Act. But did you know that many states also have state false claims acts or equivalents?

The OIG, in cooperation with the Attorney General, determines whether States have false claims acts that qualify for an incentive under section 1909 of the Social...

The number of settlements with the government for issues of non-compliance are on the rise. And experts estimate that most physician practices are making mistakes.

For those of you unfamiliar with coding and billing, modifier -59 is a two-digit numeric code modifier that can be appended to a CPT or HCPCS procedure code, for example, and will frequently bypass many payor edits.