Healthicity Blog

We hear a lot about fraud and abuse involving the Medicare program, and rightfully so. But because Medicaid programs are state-run, we may not hear of Medicaid issues unless they are in the news, in the state we live or work in.

1. The University of California at Riverside’s Pilot Payroll Certification System Did Not Provide Accountability Over Payroll Charges to Federal Awards (A-04-13-01026) -

A couple weeks ago, Medstar Ambulance Inc. settled False Claims Act allegations with the government for $12.7 million. The allegations were first brought to the attention of the government through a former billing office employee who filed a qui tam (i.e., whistleblower) lawsuit under the False...

“Open wide and say….Compliance”

Most of my blog posts reporting on settlements involve medical professionals or providers. It’s important to recognize that dental providers are also not immune to compliance woes.

For the last month or so I’ve been posting about various CIA compliance program requirements from the OIG in one of their most recently published CIA.

The OIG has stated, “every Board is responsible for ensuring that its organization complies with relevant Federal, State, and local laws.”

Every compliance officer knows that effective compliance requires the participation of “an entire village.” While some organizations might think that hiring a compliance officer is all an organization needs to maintain compliance, that assumption could not be further from the truth.

In late August, the Office for Civil Rights of the Department of Health and Human Services announced via its listserv service that it was ramping up its enforcement efforts for smaller breaches of less than 500 records.