About Christian Roule

Christian works as the Site Administrator and Content Copywriter for The Coding Network. He is a published author and a member of the IT Team.

Kansas Doctor Forks Over Almost 6 Million in Settling 3rd False Claims Case in Twenty Years

By |2019-06-18T21:55:27+00:00June 19th, 2019|Medical Coding News and Recent Articles|

Joseph P. Galichia MD, the previous owner of the Wichita-based Galichia Medical, after quite some time, reached Fraud Claim Act settlements with the Feds in 2000 and 2009 amounting to nearly 6 Million Dollars. This was his third time settling with the US Federal Government for such behavior. Click Here to Read the Full Story!

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Westside Los Angeles Dentist Being Sent To Prison

By |2019-06-18T21:42:54+00:00June 18th, 2019|Medical Coding News and Recent Articles|

A West Los Angeles dental practitioner was sentenced last week to forty months in federal jail for a health-care insurance fraud scheme during which he submitted phony billings for crowns and fillings that were not ever really provided to patients. Benjamin Rosenberg, 59, pleaded guilty in January to one federal count of health care fraud, [...]

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Florida Physicians and Practice Settle False and Fraudulent Claims Case

By |2019-06-18T03:12:03+00:00June 18th, 2019|Medical Coding News and Recent Articles|

Jaime L. Sepulveda, MD, LLC (d/b/a Miami Urogynecology Center), Jaime L. Sepulveda, M.D., and Sujata Yavagal, M.D. (collectively, "Miami Urogynecology Center"), South Miami, Florida, entered into a $173,768.08 settlement agreement with OIG. The settlement agreement resolves allegations that Miami Urogynecology Center submitted claims to Medicare for items or services that it knew or should have [...]

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Connecticut Diagnostic Services Provider Settles Case Involving False Claims

By |2019-06-13T22:42:17+00:00June 14th, 2019|Medical Coding News and Recent Articles|

On November 19, 2018, Southern Connecticut Vascular Center, LLC (SCVC), Stratford, Connecticut, entered into a $792,076.76 settlement agreement with OIG. The settlement agreement resolves allegations that SCVC submitted claims for Healthcare Common Procedure Coding System (HCPCS) code 96965 when those claims were for a procedure that was already included as a component of the duplex ultrasound [...]

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California Physician and Practice Settle Case Involving False Claims

By |2019-06-13T22:41:22+00:00June 14th, 2019|Medical Coding News and Recent Articles|

On December 20, 2018, Michael Jadali, D.O., and the Center for Pain & Rehabilitation Medicine (collectively, "Dr. Jadali"), San Jose, California, entered into a $60,406.30 settlement agreement with OIG. The settlement agreement resolves allegations that Dr. Jadali submitted claims to Medicare for Healthcare Common Procedure Coding System codes 80500 (clinical pathology consultation; limited, without review of [...]

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California Physician and Practice Settle False and Fraudulent Claims Case

By |2019-06-13T16:14:32+00:00June 13th, 2019|Medical Coding News and Recent Articles|

On April 12, 2019, Complete Women Care, Inc., and Miriam Mackovic-Basic, M.D. (collectively, "CWC"), with multiple locations in Los Angeles County, California, entered into a $258,045 settlement agreement with OIG. The settlement agreement resolves allegations that CWC submitted claims to Medicare for items or services that it knew or should have known were not provided as [...]

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Los Angeles Dental Practitioner Sentenced to Forty Months in Jail for Role in $3.8 Million Health Care Fraud Scheme

By |2019-06-12T17:37:04+00:00June 12th, 2019|Medical Coding News and Recent Articles|

A LA, California-based dental practitioner was sentenced to forty months in jail last week for his role during a $3.8 million health care fraud scheme during which he charged various dental insurance carriers for crowns and fillings that were not ever actually provided to patients. Assistant Attorney General Brian A. Benczkowski of the Justice Department’s [...]

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Medicare Advantage Provider To Pay $30 Million To Settle Alleged Overpayment Of Medicare Advantage Funds

By |2019-06-04T20:45:42+00:00June 4th, 2019|Medical Coding News and Recent Articles|

Sutter Health LLC, a California-based healthcare services provider, and several affiliated entities, Sutter East Bay Medical Foundation, Sutter Pacific Medical Foundation, Sutter Gould Medical Foundation, and Sutter Medical Foundation, have agreed to pay $30 million to resolve allegations that the affiliated entities submitted inaccurate information about the health status of beneficiaries enrolled in Medicare Advantage [...]

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HHS Looking Forward to Almost $3.5 Billion in Fiscal Recoveries for 2018

By |2019-05-31T17:42:55+00:00May 31st, 2019|Medical Coding News and Recent Articles|

The U.S. Department of Health and Human Services (HHS) workplace of inspector general (OIG) is within the business of finding out “fraud, waste, and abuse” within the nation’s health care system, to echo the oft-repeated phrase it uses to explain its mission. And business is booming. The Office of Inspector General is anticipating $2.9 billion [...]

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Baton Rouge Physician sentenced to over three years in jail in a fraud scheme

By |2019-05-28T16:03:49+00:00May 28th, 2019|Medical Coding News and Recent Articles|

A former owner and medical director of a Baton Rouge pain management clinic was sentenced to over 3 years in federal jail Friday during a health care fraud scheme, federal authorities mentioned. Dr. John Eastham Clark, who co-owned Louisiana Spine & Sports on Bluebonnet avenue, additionally was ordered to pay nearly $255,000 in restitution by [...]

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