Medical Coding Audits and Compliance

Premier Medical Associates Agree To Pay $750,000 To Resolve Claims Of False Billing

By |2020-11-10T17:34:19+00:00November 10th, 2020| Premier Medical Associates Agree To Pay $750,000 To Resolve Claims Of False Billing Tampa, FL – United States Attorney Maria Chapa Lopez announces today that Premier Medical Associates (PMA), [...]

Medical Billing Codes Key to Fraud Case Against 2 Erie Oral Surgeons

By |2020-04-13T06:43:01+00:00August 8th, 2016|

John F. Lehrian, who is retired, and David E. Palo, of what was known as Lehrian & Palo Oral Surgery, 100 State St., pleaded not guilty to federal charges that [...]

US Attorney’s Office Recovers Over $20 Million Dollars Against Community Health Network

By |2015-09-13T17:57:15+00:00July 2nd, 2015|

In another instance of false claims to Medicare and Medicaid programs, Josh J. Minkler, United States Attorney, announced today a $20,324,902.22 civil settlement with Community Health Network (ACHN), a non-profit health [...]

Government Recovers $3.3 billion in Fiscal 2014 Federal Health Program Fraud

By |2020-04-13T06:44:24+00:00March 19th, 2015|

WASHINGTON--The government recovered $3.3 billion in fiscal 2014 from individuals and companies that tried to defraud federal health programs, part of an effort by the Obama administration to improve enforcement [...]

Second quarter PQRS interim claims feedback data available

By |2020-04-13T06:50:37+00:00November 27th, 2014|

Eligible professionals (EPs) who reported at least one PQRS quality measure during 2014 via claims-based reporting can access their data on a quarterly basis using the 2014 PQRS Interim Feedback [...]

Medicare Fraud Hard to Stop, But Predictive Analytics Technology Helping

By |2020-04-13T18:24:28+00:00August 16th, 2014|

In this article by REED ABELSON and ERIC LICHTBLAU at the NEW YORK TIMES, Medicare says its new high tech predictive analytics system “is successfully doing its job of pointing the spotlight [...]