Healthicity Blog

1. Mental Health Center to Pay $4 Million under AG Settlement for Illegally Billing MassHealth for Unlicensed Patient Care –

1. Michigan clinic office manager pleads guilty to $131M healthcare fraud scheme -

Last week, I blogged about State Inspectors General in an attempt to draw attention to the efforts states are taking to combat fraud, waste and abuse in healthcare.

We talk a lot about the OIG. So much so that we use the term “OIG” to generally mean the OIG for the Federal Department of Health and Human Services. It is important to stay on top of the Federal OIG work plan, audits, investigations and other initiatives.

The new year is a time to improve, adjust, and tackle compliance with new eyes and a reignited passion. It’s also a time for making a list of compliance resolutions, of things I need to tackle head on this year.

Those of you who have been following my work on the Healthicity blog, my webinars and/or speaking engagements know that one of my topics of choice is the government's increased efforts to hold individuals, not just organizations, accountable for suspected non-compliance.

1. Vanderbilt University Medical Center pays $6.5M to resolve Medicare fraud allegations: “Vanderbilt University Medical Center paid $6.5 million to settle a whistleblower suit alleging VUMC committed Medicare fraud between 2003 and 2011, according to a Tennessean report.

1. Genesis Healthcare agrees to pay $53.6M to settle fraud allegation - “Pennsylvania-based Genesis Healthcare Inc. has agreed to pay the federal government $53.6 million to settle six False Claims Act lawsuits that accused the company of defrauding government healthcare programs.