First Assistant U.S. Lawyer Jennifer Arbittier Williams proclaimed that Richard P. Frey, D.O., and Physicians Alliance Ltd. (“PAL”) have agreed to pay nearly $180,000 to resolve liability underneath the False Claims Act for the alleged improper charge of “P-Stim” devices. From may 2013 through June 2014, Frey and PAL billed Medicare for the implantation of [...]
Alabama Ambulance Provider Settles Case Involving False Claims On June 28, 2019, Samaritan EMS, Inc. (Samaritan), Union Grove, Alabama, entered into a $942,373.67 settlement agreement with OIG. The settlement agreement resolves allegations that Samaritan submitted basic and advanced life support ambulance claims where the trips were to destinations for which ambulance services are not covered by [...]
Santa Monica, California based Oceanside MedicalGroup did not comply with Medicare necessities when charging for psychotherapy services, in keeping with a report from Health and Human Service's OIG. The Office of Inspector General said none of the hundred sampled beneficiary days, comprising of 103 psychotherapy services, complied with Medicare any needs. Furthermore, within the majority of cases, [...]
Physicians ought to review the direct monetary impact as several of the managed care contracts can pay these auxiliary services at the CMS RVU rates. the great news is they aren't set in stone; so doctors can discuss the projected WRVUs or the other a part of the rule until September 27th. Read The Full [...]
A Greensboro-based medical transport company was sentenced in court for health care fraud after pleading guilty to one count of health care fraud in October 2018, according to US Attorney lawyer Matthew G.T. Martin of the District of North Carolina. The company in question, Gate City Transportation, was ordered to pay a $100 fine, a [...]
Beaver Medical Group L.P. (BMG) and a doctor who works for it, Dr. Sherif Khalil, have agreed to pay a little over the amount of $5 million to resolve accusations that they falsely reported diagnosis codes to plans of Medicare Advantage, thereby causing said plans to receive inflated payments. BMG is headquartered in Redlands, CA. “The [...]
On July 29, 2019, the Centers for Medicare Services (CMS) issued a projected rule that has proposals to update payment policies, payment rates, and quality provisions for services equipped beneath the Medicare Physician Fee Schedule (PFS) on or after Jan 1, 2020. The Calendar Year (CY) 2020 PFS projected rule is one amongst many planned [...]
One of the most important perks to getting into the medical coding and billing field is the chance of employment from the comfort of home. Billers and coders are ready to access medical records via secure web connections to work from nearly anyplace. Finding remote positions may be ideal for maximising family time while lowering [...]
In court in Central Islip, Hal Abrahamson, a foot doctor with offices in Plainview, Long Island, and Rego Park, Queens, was sentenced by US District judge Denis R. Hurley to at least one year and a day in jail for his role during a health care fraud scheme. The Court additionally ordered Abrahamson to pay [...]
Separately asking routine evaluation and management (E/M) services provided on a similar day as another procedure is usually denied by Medicare. Care providers might typically individually bill E/M services if they meet certain criteria and append modifier 25 vital, on an individual basis specifiable analysis and management service by a similar MD or different qualified [...]
