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So far has created 55 blog entries.

Carolina Healthcare System Agrees To Pay $6.5 Million

By |July 6th, 2017|

The Charlotte-Mecklenburg Hospital Authority, dba Carolinas Healthcare System (CHS), has agreed pay the Government $6.5 million according to U.S. Attorney Jill Westmoreland Rose. This was to resolve allegations that the company violated the False Claims Act, by “up-coding” claims for urine drug tests in order to receive higher payment than allowed for the tests. The settlement […]

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Norman Orthopedic Practice Pays $1,537,796

By |June 28th, 2017|

Orthopedic and Sports Medicine Center-Norman (collectively “OSC”) have paid $1,537,796 to settle civil claims stemming from allegations that they submitted false claims to Medicare, Medicaid, the Department of Veterans Affairs, and TRICARE. In reaching this settlement, OSC did not admit liability, and the government did not make any concessions regarding the legitimacy of the claims. The agreement […]

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Richmond Hospitalist Group Settles Federal FCA Case

By |June 19th, 2017|

Fredericksburg Hospitalist Group, located in Richmond, VA, and fourteen of its member shareholders have agreed to pay nearly $4.2 million to settle a federal FCA case brought under the “qui tam whistleblower” provisions. Dana J. Boente, U.S. Attorney for the Eastern District of Virgini, said, “Rooting out fraudulent billing by healthcare providers is a priority. This […]

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Medicare overbilled by $41.9M – Mount Sinai Hospital

By |May 15th, 2017|

New York City: According to a recent OIG report, Mount Sinai Hospital failed to comply with Medicare’s billing requirements for 110 outpatient and inpatient claims reviewed by the office of Inspector General for the audit period of January 1st, 2012, through December 31st, 2013.

Read the Full Story Here!

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Dermatologist in Encino to Pay $2.7 Million

By |April 26th, 2017|

Dr. Norman A. Brooks, M.D., the owner of The Skin Cancer Medical Center in Encino, has paid the United States nearly $2.7 million on April 10th to resolve allegations that he submitted bills to Medicare for Mohs micrographic surgeries for skin cancers that were medically unnecessary.

Read the Full Article here.

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1 in 4 health consumers have had their PHI stolen

By |February 21st, 2017|

26% of United States health consumers have had their PHI stolen from healthcare systems, according to the results of a study from Accenture, released in Orlando at HIMSS17. The study reveals that 50% of people who experienced such a breach were victims of medical identity theft, and thus had to pay an average of $2,500 […]

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Healthcare Provider will pay $60 Million Settlement for Medicare and Medicaid False Claims

By |February 13th, 2017|

TeamHealth Holdings, a major U.S. hospital service provider, has agreed to resolve allegations that it violated the False Claims Act by billing Medicare, Medicaid, the DHA, and the Federal EHB Program for higher and more expensive levels of medical service than what were actually performed (a practice also known as “up-coding”), the DOJ announced today. […]

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Federal government reclaims $3.3B+ in fraudulent healthcare claims

By |February 1st, 2017|

The Office of the Inspector General has reported that the federal government has recovered over $3 billion in fraudulent healthcare claims in the 2016 fiscal year.

Read More Here

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Texas Dental Management Firm Agree to Pay $8.45 Million to Resolve Allegations

By |January 13th, 2017|

Texas-based MB2 Dental Solutions (MB2), 21 pediatric dental practices affiliated with them, as well as their owners and marketing chief, all have agreed to pay the US and Texas Medicaid $8.45 million to settle allegations that they violated the False Claims Act. They are accused of knowingly submitting, or otherwise causing the submission of, claims […]

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ICD-10 Service Offerings

By |January 1st, 2017|

ICD-10 Physician Training
We feel that the practitioners will feel the overwhelming brunt of the impact of ICD-10; they will no longer be able to characterize their patients’ illnesses and conditions the way they have since medical school. Since the 1st Quarter of 2014, TCN has been offering provider ICD-10 training for its clients as a new service. […]

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