Coding Compliance Risk

UMC, and the estate of a late doctor, deny fraud allegations and agree to pay $3.3 million settlement

By |2020-04-13T18:39:54+00:00August 11th, 2016|

Physicians at UMC, as well as the estate of a Lubbock doctor killed in a plane crash last February, have agreed to pay a $3.3 million settlement to the federal and [...]

Louisville Based MD2U and Its Principal Owners Admit To Violating The Federal False Claims Act And Being Liable For Millions

By |2020-04-13T18:40:01+00:00July 13th, 2016|

LOUISVILLE, KY – MD2U Holding Company, including its related companies and individually named owners (“Defendants”), have agreed to pay millions to resolve a government lawsuit alleging that they violated the [...]

Dermatology Physicians / Practice to Pay $1.9 Million to Settle Overbilling Medicare for E&M Services

By |2020-04-13T07:16:53+00:00April 21st, 2016|

Abusers of the Medicare system can sometimes be intentional or not, but the stories that really get significant attention of the public are the ones that highlight healthcare personnel that [...]

Calif State Medicaid Fraud Unit Recovers $795 Million in Judgements

By |2020-04-13T18:40:32+00:00February 22nd, 2016|

California State Medicaid Fraud Control Unit: 2015 Onsite Review (OEI-09-15-00070) https://go.usa.gov/cpgj5 Why We Did This Study OIG oversees all State Medicaid Fraud Control Units (MFCUs or Units). As part of this oversight, [...]

Internal ICD-10 Readiness Plan

By |2020-04-13T07:17:03+00:00January 2nd, 2016|

Internal ICD-10 Readiness Plan Per our Internal ICD-10 Readiness Plan, all of TCN's coders are ICD-10 ready as of October 1, 2015. To accomplish this goal, TCN has used approximately 24 [...]

$750,000 HIPAA SETTLEMENT CAUSES OCR TO UNDERSCORE NEED FOR ORGANIZATION WIDE RISK ANALYSIS

By |2020-04-13T07:15:53+00:00December 18th, 2015|

In a $750,000 HIPAA Settlement, the University of Washington Medicine (UWM) has agreed to settle charges that it potentially violated the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Security [...]