Medicare overbilled by $41.9M – Mount Sinai Hospital
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 [...]
Dermatologist in Encino to Pay $2.7 Million
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 [...]
OIG Posts a Resource Compliance Guide & Enforcement Action
You can use the links provided and go directly to the OIG material. The OIG has developed free educational resources listed are to help health care providers, practitioners, and suppliers [...]
1 in 4 health consumers have had their PHI stolen
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 [...]
Healthcare Provider will pay $60 Million Settlement for Medicare and Medicaid False Claims
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 [...]
Federal government reclaims $3.3B+ in fraudulent healthcare claims
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
Texas Dental Management Firm Agree to Pay $8.45 Million to Resolve Allegations
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 [...]
ICD-10 Service Offerings
Our ICD-10 Service Offerings 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 [...]
Mother and Son Sentenced to Prison for Involvement in 95 Million Dollar Scam
A mother and son based in Miami were sentenced today to 120 months and 30 months in prison, respectively, for their roles in spearheading a $9.5 million health care fraud [...]
Springfield Psychiatrist Ordered to Pay $908,000
SPRINGFIELD, Ill. - U.S. District Judge Sue E. Myerscough has entered judgment in favor of the government and against a Springfield psychiatrist, Duttala Obul Reddy, for $908,000, to settle allegations [...]