Why Cross-Training Medical Coders Can Get You In Trouble
Cross training sounds like it should work. A coder is a coder. Why pay a new coder to work on Orthopedics when you have two OB/GYN coders with extra capacity? [...]
CMS Delays New Payment Model for Emergency Care Due To Covid-19
CMS has delayed the start date of its Emergency Triage, Treat and Transport model from May 1 until this fall. CMS selected 205 participants in February for the five-year ET3 model. CMS said it [...]
Your Coders Are Home, Now What?
3 Major Considerations for Transitioning Your Coder to Working from Home If you’re one of the many healthcare organizations that was rushed into sending your coders to work remotely from [...]
Pitfalls of Reassigning Coders to New Specialties During COVID-19
During the current Covid-19 crisis it might seem like a wise idea to reassign coders from elective specialties to specialties that are currently seeing an increase in volume. We have [...]
Texas Physician Guilty in $325M Fraud Case Involving False Diagnoses
A Texas physician was found guilty Jan. 15 for his role in a $325 million healthcare fraud scheme that involved falsely diagnosing patients with various degenerative diseases and then administering [...]
Healthcare billing fraud: Five Latest Settlements – Revenue Cycle E-Newsletter
Here are five healthcare organizations that entered into settlements to resolve billing fraud allegations in the past two months. You can . read the full story from Revenue Cycle E-Newsletter [...]
Concern Raised Over Estimated Billions Shown in Chart Reviews
The Office of the Inspector General of the United States undertook a recent study in which they reviewed a myriad of Medicare Advantage organizations (MAOs). There were concerns that these [...]
Office Manager and Wife of Conway Arkansas Doctor Arrested for Medicaid Fraud
Leslie Rutledge, an Attorney General for the State of Arkansas, announced today that a Conway Optometrist's Officer Manager had been arrested and charged with for defrauding almost $600K from the [...]
Lenox Hill Hospital Pays $12.3 Million Settlement For Submitting Fraudulent Medicare Claims
The US Attorney for Manhattan, New York, and a Special Agent for the OIG's New York Regional Office, announced today that the US Federal Government has settled a civil fraud [...]
Company Owner Goes to Jail for Medicaid Fraud
The owner of a transport company has pleaded guilty to fraudulently charging the good citizens of Massachusetts millions in false claims through the state’s Health Care Program known as MassHealth. [...]