Healthicity Blog

An organization that fails to create and maintain an effective compliance program could be forced to return overpayments. And providers may face severe civil, criminal, and financial penalties.

You’re an auditor, a pretty awesome one at that, but how much do you actually know about auditing?

Are you up-to-date on ICD10 codes, modifiers, E/M services and/or surgical codes? If you consider yourself an expert, now’s your chance to test your knowledge.

It’s always interesting to hear a doctor’s perspective on compliance, but it’s even more interesting when that doctor happens to be the OIG’s Chief Medical Officer. I had the pleasure of hearing her, Julie Taitsman, MD, JD, speak at the HCCA’s Regional Compliance Conference this May in New York...

Compliance officers have a lot to juggle. Incident management, internal auditing and monitoring, and enforcing standards, are just a few of the things you need to master. Plus, it seems like new guidelines are emerging from every corner.

I’m sure I don’t need to tell you that compliance involves a lot of moving parts these days. Tracking incidents, training, and monitoring are just a few basics of the position.

I get it. Being a compliance officer doesn’t sound all that thrilling to the general public. When I explain my job to friends, I can see their expressions glaze over as they struggle to suppress a yawn. Yet, as far as I’m concerned, my job is amazing.

At the end of 2016 I posted a blog about the unsealing of an indictment of 21 individuals allegedly involved in a $40 million bribe and kickback scheme involving Forest Park Medical Center Dallas (FPMC).

The DOJ recently published this document, which provides additional insight into their practices of evaluating compliance programs.