Medical Coding Audits and Compliance

Guam Ambulance Company Owners Sentenced to Prison for Their Roles in Medicare Ambulance Fraud Scheme

By |2020-11-12T21:47:11+00:00November 12th, 2020|

Guam Ambulance Company Owners Sentenced to Prison for Their Roles in Medicare Ambulance Fraud Scheme. Two owners of Guam Medical Transport (GMT) were sentenced to prison terms today for their [...]

Cerner Falls but Remains Dominant Alongside Epic for EHR Market Share

By |2020-11-12T21:46:37+00:00November 12th, 2020|

Cerner Falls but Remains Dominant Alongside Epic for EHR Market Share Epic and Cerner have been the only vendors to add hospital market share each year since KLAS started tracking [...]

United States Joins False Claims Act Lawsuit against California Doctor

By |2020-11-10T17:38:51+00:00November 10th, 2020|

 United States Joins False Claims Act Lawsuit against William M. Kelly, M.D. Inc. and Omega Imaging Inc. United States Joins False Claims Act Lawsuit against William M. Kelly, M.D. The [...]

Villages Dermatologist Agrees To Pay More Than $1.7 Million To Settle False Claims Act

By |2020-11-10T17:38:25+00:00November 10th, 2020|

Villages Dermatologist Agrees To Pay More Than $1.7 Million To Settle False Claims Act Liability For Inflated Medicare Claims Villages Dermatologist Agrees To Pay More Than $1.7 Million To Settle [...]

Wise Psychiatrist Pleads Guilty to Federal Health Care Fraud Charge

By |2020-11-10T17:37:59+00:00November 10th, 2020|

Wise Psychiatrist Pleads Guilty to Federal Health Care Fraud Charge According to court documents, from 2010 to 2016, Ehtesham devised a scheme to defraud Virginia Medicaid and Medicare by billing [...]

West Michigan Urogynecologist Sentenced To Prison For Healthcare Fraud And Adulteration Of Medical Devices

By |2020-11-10T17:36:56+00:00November 10th, 2020|

West Michigan Urogynecologist Sentenced To Prison For Healthcare Fraud And Adulteration Of Medical Devices GRAND RAPIDS, MICHIGAN — U.S. Attorney Andrew B. Birge announced today that U.S. District Judge Janet [...]

ER Physicians Accuse UnitedHealth of Illegally Underpaying Claims

By |2020-11-10T17:36:32+00:00November 10th, 2020|

ER physicians accuse UnitedHealth of illegally underpaying claims Several emergency room physician practices in New York have filed a federal lawsuit alleging UnitedHealth Group and MultiPlan conspired to underpay out-of-network [...]

Memphis Physicians Agree To Pay More Than $340,000 for Alleged Overbilling

By |2020-11-10T17:36:09+00:00November 10th, 2020|

Memphis Physicians Agree To Pay More Than $340,000 for Alleged Overbilling Doctor Shoaib Qureshi, Doctor Imran Mirza, Memphis Primary Care Specialists, Lunceford Family Health Center, and Getwell Family Medicine agreed [...]

Ambulance Provider Agrees to Settle False Claims Act Allegations

By |2020-11-10T17:35:36+00:00November 10th, 2020|

https://www.justice.gov/usao-edva/pr/ambulance-provider-agrees-settle-false-claims-act-allegations An ambulance transportation company that operates throughout Virginia has agreed to pay $110,000 to settle allegations that the company submitted false claims to Medicare for ambulance transports, in violation [...]