When evaluating a physician-practice acquisition, a deep dive into the financials of the target does not always tell the whole story. Without an examination of whether the coding and clinical [...]
The emergence of AI in medical coding is invariably impacting healthcare and traditional workflows and resource allocation. Yet, as AI platforms tout accuracy rates exceeding 90%, a critical question persists: [...]
CMS selects primary care payment model participants According to Becker's Hospital Review, "CMS chose 916 primary care practices and 37 regional health plan partners as participants in its new payment [...]
OIG Tags Arizona Hospital for Erroneous Billing Flagstaff (Ariz.) Medical Center failed to comply with Medicare billing requirements for three of 100 inpatient and outpatient claims reviewed by HHS' Office [...]
Neurosurgeon Medical Practice Director to Pay Over $1 Million Neurosurgeon Medical Practice Director to Pay Over $1 Million to Resolve False Claims Act Liability Arising from Billing of P-Stim Devices. [...]
New Mexico Physician and Practice Settle Case Involving False Claims The settlement agreement resolves allegations that Dr. Reddy submitted claims for Healthcare Common Procedure Coding System (HCPCS) code 93965, when [...]
Texas Physician and Practice Settle Case Involving False Claims The settlement agreement resolves allegations that Dr. Robbins submitted claims for Healthcare Common Procedure Coding System (HCPCS) code 93965, when those [...]
Illinois Physician Settles Case Involving False Claims The settlement agreement resolves allegations that Dr. Tolitano submitted claims for Healthcare Common Procedure Coding System (HCPCS) code 93965, when those claims were [...]
Pain doctor pays to settle allegations of deceptive Medicare billing. A 52-year-old pain management physician from Houston has paid $530,000 to resolve allegations he falsely billed Medicare for the use [...]
Tallahassee Health Care Provider Arrested for Medicaid Fraud A Tallahassee health care provider has been arrested for billing the Florida Medicaid Program around $50,000 for fraudulent medical services, according to [...]
