The Department of Health and Human Services Office of Internal General (OIG) recently published this video on their website after entering into a Corporate Integrity Agreement with eClinicalWorks for $155 million dollars.  The OIG is showcasing this settlement as an example to other Electronic Health Record (EHR) vendors.  eClinicalWorks, on the other hand, is moving forward as dominant player in the EHR space and admitting no wrong.

What is the take away for physicians? Be certain that you have business procedures and compliance training in place to protect your business.

  • The matter of healthcare fraud is being taken seriously.  In addition to fulfilling their duty to protect the public, the work of the OIG offers a large source of revenue for the government.  Take time to Review the OIG’s workplan each year.  Here is the OIG’s 2017 Workplan.
  • Be sure that all your employees (including you) are up to date on the required annual compliance training and mandate that employees notify you of any known activities that may be considered out of compliance.
  • Your EHR or other Practice Management Software vendors are at risk of Fraud and Abuse audits.  Even if they aren’t found guilty of actual fraudulent activities, the cost to defend such a case can be financially harmful and impact the ability to support your business.  So, know your healthcare software partners well.  Look to the purchase agreement to protect your business on the front-end of a purchase by making certain that you are able to get your data if you need to make a switch in vendors.

Mike DeVries is a CERTIFIED FINANCIAL PLANNER ™, Enrolled Agent,  and a Certified Healthcare Business Consultant focusing on helping healthcare professionals. If you would like to learn more about becoming a client, contact Mike at www.vmde.com.