Coding Compliance Risk

Medicaid and Medicare Telehealth Payments Fails to Meet Medicare Requirements Including HIPAA

By |2020-04-13T19:01:33+00:00October 12th, 2018|

OIG reviewed 191,118 Medicare paid distant-site telehealth claims, totaling $13.8 million, that did not have corresponding originating-site claims. The watchdog agency then reviewed provider supporting documentation to determine whether the [...]

Batesville Lady Blamed for Overbilling Medicaid for Preferred Family Health

By |2020-04-13T18:34:59+00:00October 10th, 2018|

A previous charging assistant at Preferred Family Health has been captured on doubt of Medicaid extortion. Vicki Chisam, 65, of Batesville is blamed for purposely putting forth false expressions to [...]

Southeastern Connecticut Doctor Settles under the False Claims Act for Nearly 100K

By |2020-04-13T18:35:08+00:00October 4th, 2018|

John H. Durham, United States Attorney for the District of Connecticut, today declared that HELAR CAMPOS, MD, a doctor with a training in New London and Norwich, has gone into [...]

$65M False Claims Act Lawsuit Shows Need To Improve Coding & CDI Compliance

By |2020-04-13T18:35:26+00:00September 19th, 2018|

In August, Ontario, Calif.- based Prime Healthcare Services paid $65 million to settle assertions it disregarded the False Claims Act by conceding patients who just required outpatient mind and participating [...]