OIG Report Reminds Providers to Review their Billing Practices
Recently, a reort issued by the U.S. Department of HHS, Office of Inspector General, estimates that over 60% of claims submitted to Medicare for outpatient PT fails to comply with [...]
16 ASC revenue cycle management companies you need to know
Here are more than 16 companies that provide revenue cycle management solutions, services and financing options to ASCs and their patients: Bolder Healthcare Solutions CareCredit Clariti Health CollectRx GeBBS Healthcare [...]
New York Doctor Sentenced To 13 Years In Prison For Multi-million Dollar Health Care Fraud
A New York surgeon who practiced at hospitals in Brooklyn and Long Island was sentenced today to 156 months in prison for his role in a scheme that involved the [...]
Scranton Physician Agrees To Pay $625,000 in Settlement
The US Attorney’s Office for Pennsylvania's Middle District announced today that the Estate of Dr. Leroy Pelicci has agreed to pay a $625,000 settlement regarding False Claims Act allegations. Read Full [...]
Ambulance Company to Pay $9 Million
Virginia Beach-based provider of ambulance services Medical Transport LLC, agreed to pay $9 million in resolution of allegations that it violated the False Claims Act. It is alleged that they [...]
Maryland Health Care Providers to Settle Claims of False Medicare Billing
Saint Agnes Healthcare, owner and operator of St. Agnes Hospital in Baltimore, has agreed to pay approximately $70,000 in settlement to settle claims that it billed the US government for [...]
Florida Dermatologist Agrees to Pay $2.5 Million
Dermatologist and owner of Treasure Coast Dermatology Tim Ioannides, located in Vero Beach and Port St. Lucie, Florida has agreed to pay $2.5 million in a resolution of allegations that he [...]
Bucks County dentist charged with $1.5M Medicaid fraud
Ilya Babiner, a Bucks County dentist, was charged Wednesday with 55 third-degree felony counts. Allegedly, the dentist filed a number of claims to the Medical Assistance Program between 2014 and [...]
Scripps will pay $1.5M to settle billing fraud case
Scripps Health in San Diego has agreed to settle allegations it violated the False Claims Act (paying $1.5 million), according to the Department of Justice. This resolves the allegations that [...]
CPT 2018 Changes for Orthopaedic Surgery
CPT 2018 Changes for Orthopaedic Surgery: It’s all about that Spine……almost By Heidi Stout, CPC, COSC, CCS-P Not much will change for orthopaedic surgery coding in 2018. Most of [...]