Guam Ambulance Company Owners Sentenced to Prison for Their Roles in Medicare...
Guam Ambulance Company Owners Sentenced to Prison for Their Roles in Medicare Ambulance Fraud Scheme. Two owners of Guam Medical Transport (GMT) were sentenced to prison terms today for their roles in...
View ArticleFederal Judge Sentences Former Manager of Kalamazoo-area OB-GYN Practice
Federal judge sentences former manager of Kalamazoo-area OB-GYN practice. Federal officials said U.S. District Judge Janet Neff found that Sabor was complicit in several fraud schemes committed by the...
View ArticleTallahassee Health Care Provider Arrested for Medicaid Fraud
Tallahassee Health Care Provider Arrested for Medicaid Fraud A Tallahassee health care provider has been arrested for billing the Florida Medicaid Program around $50,000 for fraudulent medical...
View ArticlePain Doctor Pays to Settle Allegations of Deceptive Medicare Billing
Pain doctor pays to settle allegations of deceptive Medicare billing. A 52-year-old pain management physician from Houston has paid $530,000 to resolve allegations he falsely billed Medicare for the...
View ArticleIllinois Physician Settles Case Involving False Claims
Illinois Physician Settles Case Involving False Claims The settlement agreement resolves allegations that Dr. Tolitano submitted claims for Healthcare Common Procedure Coding System (HCPCS) code 93965,...
View ArticleTexas Physician and Practice Settle Case Involving False Claims
Texas Physician and Practice Settle Case Involving False Claims The settlement agreement resolves allegations that Dr. Robbins submitted claims for Healthcare Common Procedure Coding System (HCPCS)...
View ArticleNew Mexico Physician and Practice Settle Case Involving False Claims
New Mexico Physician and Practice Settle Case Involving False Claims The settlement agreement resolves allegations that Dr. Reddy submitted claims for Healthcare Common Procedure Coding System (HCPCS)...
View ArticleNeurosurgeon Medical Practice Director to Pay Over $1 Million
Neurosurgeon Medical Practice Director to Pay Over $1 Million Neurosurgeon Medical Practice Director to Pay Over $1 Million to Resolve False Claims Act Liability Arising from Billing of P-Stim Devices....
View ArticleOIG Tags Arizona Hospital for Erroneous Billing
OIG Tags Arizona Hospital for Erroneous Billing Flagstaff (Ariz.) Medical Center failed to comply with Medicare billing requirements for three of 100 inpatient and outpatient claims reviewed by HHS’...
View ArticleCMS Selects Primary Care Payment Model Participants
CMS selects primary care payment model participants According to Becker’s Hospital Review, “CMS chose 916 primary care practices and 37 regional health plan partners as participants in its new payment...
View ArticleDOJ alleges Kaiser Permanente defrauded Medicare of $1 billion
Kaiser Permanente and members of its healthcare consortium defrauded Medicare of nearly $1 billion by tacking on diagnoses to patients’ medical records to earn more in reimbursement payments, the...
View ArticleIndiana system to pay $2.9M to settle Medicaid overbilling allegations
https://www.beckershospitalreview.com/legal-regulatory-issues/indiana-system-to-pay-2-9m-to-settle-medicaid-overbilling-allegations.html Fort Wayne, Ind.-based Parkview Health System has agreed to pay...
View ArticleClik here to view.
Medical Coding Audits: Ensure Accurate Clinical Documentation
Why Conduct a Medical Coding Audit Medical coding audits ensure accurate clinical documentation, improve revenue cycle management, and maintain compliance with industry regulations. Improved Accuracy...
View ArticleClik here to view.
HCC Coding Compliance: Avoid Revenue Loss and Fines in Healthcare
Navigating the complex labyrinth of HCC coding is a daunting task for healthcare providers due to the frequent carrier changes to rules and regulations, and non-compliance could mean substantial...
View ArticleClik here to view.
Outsourcing Medical Coding: The Key Advantages for Healthcare Providers
Amid the complex labyrinth of healthcare administration, one area stands as a beacon of efficiency and cost-effectiveness—outsourcing medical coding. It brings an exhaustive list of benefits ranging...
View ArticleClik here to view.
Coding Compliance Audits: Uncovering Deficiencies and Solutions
In an era where healthcare systems are intricately tied to digital platforms, meticulous coding accuracy cannot be a mere afterthought; it is an absolute necessity. Often overlooked, coding errors are...
View ArticleClik here to view.
Benefits of Professional Medical Coding Services: How Outsourcing Can...
In the ever-evolving landscape of healthcare, staying ahead of changes while maintaining efficiency and accuracy can be a challenging task. However, there is a rising solution offering multiple...
View Article
