Coding Compliance Risk

Florida Physicians and Practice Settle False and Fraudulent Claims Case

By |2020-04-13T18:26:42+00:00June 18th, 2019|

Jaime L. Sepulveda, MD, LLC (d/b/a Miami Urogynecology Center), Jaime L. Sepulveda, M.D., and Sujata Yavagal, M.D. (collectively, "Miami Urogynecology Center"), South Miami, Florida, entered into a $173,768.08 settlement agreement [...]

Connecticut Diagnostic Services Provider Settles Case Involving False Claims

By |2020-04-13T18:26:56+00:00June 14th, 2019|

On November 19, 2018, Southern Connecticut Vascular Center, LLC (SCVC), Stratford, Connecticut, entered into a $792,076.76 settlement agreement with OIG. The settlement agreement resolves allegations that SCVC submitted claims for Healthcare [...]

California Physician and Practice Settle False and Fraudulent Claims Case

By |2020-04-13T18:27:17+00:00June 13th, 2019|

On April 12, 2019, Complete Women Care, Inc., and Miriam Mackovic-Basic, M.D. (collectively, "CWC"), with multiple locations in Los Angeles County, California, entered into a $258,045 settlement agreement with OIG. The [...]

Los Angeles Dental Practitioner Sentenced to Forty Months in Jail for Role in $3.8 Million Health Care Fraud Scheme

By |2020-04-13T18:27:27+00:00June 12th, 2019|

A LA, California-based dental practitioner was sentenced to forty months in jail last week for his role during a $3.8 million health care fraud scheme during which he charged various [...]

Medicare Advantage Provider To Pay $30 Million To Settle Alleged Overpayment Of Medicare Advantage Funds

By |2020-04-13T18:27:35+00:00June 4th, 2019|

Sutter Health LLC, a California-based healthcare services provider, and several affiliated entities, Sutter East Bay Medical Foundation, Sutter Pacific Medical Foundation, Sutter Gould Medical Foundation, and Sutter Medical Foundation, have [...]

HHS Looking Forward to Almost $3.5 Billion in Fiscal Recoveries for 2018

By |2020-04-13T18:27:44+00:00May 31st, 2019|

The U.S. Department of Health and Human Services (HHS) workplace of inspector general (OIG) is within the business of finding out “fraud, waste, and abuse” within the nation’s health care [...]

Baton Rouge Physician sentenced to over three years in jail in a fraud scheme

By |2020-04-13T18:27:52+00:00May 28th, 2019|

A former owner and medical director of a Baton Rouge pain management clinic was sentenced to over 3 years in federal jail Friday during a health care fraud scheme, federal [...]

Company Carolina Physical Therapy Will Pay almost $800K to Settle False Billing Allegations

By |2020-04-13T18:28:00+00:00May 22nd, 2019|

US Attorney Sherri A. Lydon made the announcement that the US Attorney’s Office for South Carolina has settled numerous claims of prolific health care fraud with Carolina Physical Therapy (also [...]

These ten doctor specialties generate the foremost revenue for hospitals

By |2020-04-13T18:28:09+00:00May 16th, 2019|

The amount of revenue physicians generate for hospitals is usually significantly over their annual salaries, in keeping with a recent survey by medical practitioner staffing firm Merritt Hawkins. The survey was emailed to roughly three thousand hospital [...]