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 [...]
Repeal of MIPS – Recommendation to Congress, MedPAC 12 to 4 Vote
A top Congressional advisory body has voted to recommend that Congress repeal the Merit-based Incentive Payment System (MIPS) and replace it with a simpler quality reporting system that would not [...]
Charleston dentist sentenced to five years in federal prison for health care fraud
A Charleston dentist who falsely billed West Virginia Medicaid for more than $700,000 was sentenced today to 5 years in federal prison. Skaff, a dentist, admitted that he falsely inflated his billings [...]
Utah Pain Doctor and Medical Practice Settle Medicare Fraud Claims
On July 21st, 2017, Jahan Imani, M.D., and Intermountain Medical Management, P.C., (IMM), a Utah based pain management specialist and his practice, entered into a $399,895.92 settlement agreement with OIG. [...]
Syracuse Area Medical Practice Improperly Billed for Moderate Sedation Services
New York Spine and Wellness Center (under the umbrella of New York Anesthesiology Medical Specialties, P.C.) agreed today to pay $1,941,850.29 to resolve allegations that it improperly billed for moderate [...]
Under Michigan’s New Medicare RAC Regime, Physician Services Are the Initial Primary Target
An announcement came back in back in October 2016 from the Centers for Medicare & Medicaid Services (CMS). It announced that it had awarded to various entities the next round [...]
Civil Fraud Case Settlement from Fredericksburg Hospitalist Group amounts to $4.2 Million
Along with 14 of its member shareholders, Fredericksburg Hospitalist Group has agreed to pay nearly $4.2 million to settle a federal False Claims Act case brought under the qui tam [...]
Medical Practice Agrees To Resolve Allegations Of Overbilling Medicare
St. Agnes Healthcare in Baltimore, Maryland has agreed to pay the United States a sum of $122,928 to resolve issues under the False Claims Act. These allegations allege that they [...]
Due to Improper Billing, Healey Returns $500,000 in Settlement With a Springfield Dentist
Massachusetts Attorney General Maura Healey announced today a settlement with a pediatric dentist in Springfield. Healey's office returned $500,000 to MassHealth, the state’s Medicaid program, resolving claims that improper billing [...]
Hospital in Macon will pay $2.5 million to settle billing allegations
The Navicent Health Medical Center has agreed to pay $2.5 million to settle federal allegations that it submitted bills for ambulance trips that were either medically unnecessary or inflated. The [...]