Coding Compliance Risk

Lake County eye specialists consent to $157K installment to settle Medicare charging claims

By |2020-04-13T18:11:27+00:00February 6th, 2019|

Two Lake County ophthalmologists have consented to a six-figure installment for inappropriately charging Medicare for eyelid fix medical procedures, the U.S. Lawyer's Office said Tuesday. Specialists Craig D. Fishman and [...]

Previous specialist feels the impacts of his terrible drug

By |2020-04-13T18:11:35+00:00January 25th, 2019|

A previous Sevier County restorative specialist, who attempted to charge Morristown regional government more than $200,000 for undesirable hypersensitivity medications and misled Grainger County Tomato Festival-goers, is getting tropical storm [...]

Previous Maryland Physician Agrees to Pay $400,000 to the United States to Resolve Allegations of Fraudulent Billing for Psychotherapy Services

By |2020-04-13T18:11:46+00:00January 2nd, 2019|

M. Wagdi Attia, M.D., a doctor who until April 1, 2018 had a restorative practice in Gaithersburg, Maryland, has consented to pay the United States $400,000 to determine charges that [...]

Feds join claim blaming Sutter Health for Medicare Advantage Fraud

By |2020-04-13T18:11:59+00:00December 12th, 2018|

The Department of Justice has interceded in a claim against Sacramento, Calif.- based Sutter Health, charging the wellbeing framework and a partnered therapeutic establishment disregarded the False Claims Act by [...]

Maryland Treatment Centers Agrees to Pay $500,000 to Resolve Allegations That It Submitted Claims for Services That Were Undocumented or Not Provided

By |2020-04-13T18:12:08+00:00November 21st, 2018|

Maryland Treatment Centers has consented to pay the United States $500,000 to settle charges under the False Claims Act that it submitted false cases to the United States for psychological [...]

Final Policy, Payment, and Quality Provisions Changes to the Medicare Physician Fee Schedule for Calendar Year 2019

By |2020-04-13T18:12:32+00:00November 17th, 2018|

Final Policy, Payment, and Quality Provisions Changes to the Medicare Physician Fee Schedule for Calendar Year 2019 On November 1, 2018, the Centers for Medicare & Medicaid Services (CMS) issued [...]

CMS says it will recover $1B in ill-advised Medicare installments by 2020

By |2020-04-13T18:12:40+00:00November 15th, 2018|

CMS said it is ready to hook back $1 billion from Medicare Advantage associations by 2020 through far reaching reviews, as indicated by a proposed standard. Here are five things [...]