Healthicity Blog

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.

1. Influencer not Enforcer: How to Avoid the Dreaded Corporate Cop Image

When it comes to compliance, sometimes image is everything. How you’re perceived in your organization can either work for you or against you.

1. Missouri Hospital Settles Case Involving Patient Dumping Allegations - “On October 17, 2017, Southeast Missouri Hospital (SEM), Cape Girardeau, Missouri, entered into a $100,000 settlement agreement with OIG.

We all could use some advice every now and then, especially in the world of healthcare compliance.