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So far George Grant has created 235 blog entries.

Ambulance Provider Agrees to Settle False Claims Act Allegations

By |2020-11-10T17:35:36+00:00November 10th, 2020|

https://www.justice.gov/usao-edva/pr/ambulance-provider-agrees-settle-false-claims-act-allegations An ambulance transportation company that operates throughout Virginia has agreed to pay $110,000 to settle allegations that the company submitted false claims to Medicare for ambulance transports, in violation of the False Claims Act. The United States government alleged that, for a two-year period between 2014 to 2016, some of the claims submitted for [...]

Lexington Foot and Ankle Center Agrees to Pay $750,000 to Resolve Allegations of Violations of the False Claims Act

By |2020-11-10T17:35:09+00:00November 10th, 2020|

https://www.justice.gov/usao-edky/pr/lexington-foot-and-ankle-center-agrees-pay-750000-resolve-allegations-violations-false Lexington-based podiatry practice Lexington Foot and Ankle Center, PSC (“Lexington Foot & Ankle”) and Dr. Michael Allen have agreed to resolve civil allegations that they violated the False Claims Act, a federal law that prohibits the submission of false or fraudulent claims to the federal government, agreeing to pay the United States $750,000.

Premier Medical Associates Agree To Pay $750,000 To Resolve Claims Of False Billing

By |2020-11-10T17:34:19+00:00November 10th, 2020|

https://www.justice.gov/usao-mdfl/pr/premier-medical-associates-agree-pay-750000-resolve-claims-false-billing Premier Medical Associates Agree To Pay $750,000 To Resolve Claims Of False Billing Tampa, FL – United States Attorney Maria Chapa Lopez announces today that Premier Medical Associates (PMA), a medical practice located in The Villages, Florida, has agreed to pay $750,000 to resolve allegations that it violated the False Claims Act. Specifically, the [...]

Turn The Cessation of Elective Surgeries Into an Opportunity to Educate

By |2020-05-28T18:28:41+00:00May 21st, 2020|

Under normal circumstances, the biggest difficulty practices encounter when trying to engage in physician education is timing.  Coordinating everyone’s schedules, pulling providers out of the operative and visiting rooms, and capturing a practice’s attention during the work day (or worse, during lunch) can be incredibly challenging.  We all understand that physicians are always busy and [...]

Picking the Right Coding Vendor

By |2020-05-28T18:29:11+00:00May 21st, 2020|

Picking the right coding vendor can be challenging.  There so many options and they all tell you they offer accurate coding to ensure revenue optimization and compliance risk minimization.  To help you select the right coding vendor, we have compiled some considerations to help narrow down your decision. Always ask if the codes that they [...]

Offshore Coding: HIPAA Risks

By |2020-05-28T18:29:52+00:00May 21st, 2020|

From a compliance exposure perspective, we believe that the HIPAA risk associated with sending PHI abroad is simply untenable.  HIPAA is an American law that does not extend beyond our borders.  The only way to ensure HIPAA protection abroad is to do so contractually via a BAA.  There is no regulatory authority abroad for the [...]

Generalist Coders – A Fallacy

By |2020-05-28T18:30:28+00:00May 21st, 2020|

There is no such thing as a coder who knows it all. If your coder claims to be able to code every specialty, and you let them, you might want to get your checkbook ready to pay back some recoupments.  There are over 70,000 ICD-10 codes and 10,000 CPT codes. The wealth of knowledge is [...]

Split Model Service Providers (Medical Coding Vendors with Offshore and Onshore Operations)

By |2020-05-28T18:31:39+00:00May 21st, 2020|

A troubling trend in the medical coding industry is a misleading split model where companies will have resources both onshore and abroad but not disclose which personnel are performing the services.  Some use their domestic resources almost exclusively for client facing interactions, such as sales and operations, but send all of the coding work to [...]

Beware of Medical Coding Vendors Not Dedicated to Coding

By |2020-05-28T18:32:21+00:00May 21st, 2020|

The coding industry is chock full of companies offering a bevy of services, one of them being coding.During our twenty five years in business, we have seen countless vendors in the healthcare revenue cycle industry add medical coding services to their service offerings. Their main focus is generally billing, scribe and documentation assistance, credentialing, or [...]

Due to Covid-19 Crisis Providers Can Skip 2019 CMS MIPS Reporting

By |2020-05-28T18:27:58+00:00May 5th, 2020|

Due to the COVID-19 pandemic, CMS has announced relief measures for providers who are bound to participate in its quality reporting programs, including the Merit-based Incentive Payment System (MIPS). First, CMS is extending the deadline for submission of 2019 MIPS data from March 31, 2020, to April 30, 2020. Second, and perhaps most significantly, if [...]