Healthicity Blog

In November we saw some new updates to the OIG Workplan. Make sure you review all of them to see if your organization will be affected.

1. Houston Psychiatrist Sentenced to More Than 12 Years in Prison for Role in $155 Million Medicare Fraud Scheme –

Everyone has a boss they answer to, even the OIG. The OIG is frequently reporting to their ultimate boss(es), the U.S. Congress and they often do so via the testimony they provide to various committees and subcommittees.

Often times, it’s only the biggest dollar amount settlements that make the headlines in healthcare compliance.

The most recent report posted by the OIG addresses what they feel are the compliance vulnerabilities in the Medicare Hospice program.

CMS won’t be enforcing the Affordable Care Act’s Skilled Nursing Facilities compliance requirement until November of 2019.

1. Huntsville Nursing Home Pays the United States and the State of Texas $5 Million to Settle Claims Alleging Poor Quality of Care –

The OIG recently released their 2017 work plan. And the information can make or break your organization’s compliance program.

Seriously, you don’t want to mess with the OIG. Just last year they performed 1,662 exclusions, 428 criminal actions and 383 civil actions.