Coding Compliance Risk

GAO Scrutinizes Insufficient Documentation as Cause for Improper Medicare and Medicaid Payments

By |2020-04-13T18:29:18+00:00April 25th, 2019|

For quite a long time, Medicare and Medicaid have been included on a Government Accountability Office (GAO) rundown of government programs that are at an expanded danger of misrepresentation, waste, [...]

Sutter Health settles Medicare Advantage upcoding case for $30 million

By |2020-04-13T18:29:42+00:00April 22nd, 2019|

Sutter Health was supposedly associated with a training called upcoding, which alludes to the accommodation of mistaken or overstated data about the wellbeing status of a recipient so as to [...]

Cardiovascular Associates, P.C. Consents to Pay the United States Over $399,000 to Settle False Claims Act Allegations Relating to Improper Billing Practices

By |2020-04-13T18:29:59+00:00April 16th, 2019|

Cardiovascular Associates, P.C. has consented to pay $399,230.35 to settle asserts that they submitted false cases to the United States for administrations not rendered. Cardiovascular Associates P.C. is a therapeutic [...]

Lee County Ambulance Service and its Director Agree to Pay $253,930 to Resolve Allegations of False Claims to Medicare

By |2020-04-13T18:09:55+00:00April 8th, 2019|

The Lee County Fiscal Court ("Lee County") and the previous executive of its emergency vehicle administration, Joseph Broadwell, have consented to determine common charges that Lee County Ambulance abused the [...]

CareWell Urgent Care Center Agrees to Pay $2 Million to Resolve Allegations of False Billing of Government Health Care Programs

By |2020-04-13T18:10:04+00:00April 2nd, 2019|

The United States Attorney's Office reported today that CareWell Urgent Care Centers of MA, P.C., CareWell Urgent Care of Rhode Island, P.C., and Urgent Care Centers of New England Inc. [...]