Company Carolina Physical Therapy Will Pay almost $800K to Settle False Billing Allegations

By |2019-05-22T11:19:16+00:00May 22nd, 2019|Medical Coding News and Recent Articles|

US Attorney Sherri A. Lydon made the announcement that the US Attorney’s Office for South Carolina has settled numerous claims of prolific health care fraud with Carolina Physical Therapy (also called “Carolina PT” for short).  The company in question was a chain of nearly ten physical therapy practices headquartered in and around Columbia, Irmo, Lexington, [...]

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These ten doctor specialties generate the foremost revenue for hospitals

By |2019-05-16T18:20:26+00:00May 16th, 2019|Medical Coding News and Recent Articles|

The amount of revenue physicians generate for hospitals is usually significantly over their annual salaries, in keeping with a recent survey by medical practitioner staffing firm Merritt Hawkins. The survey was emailed to roughly three thousand hospital CFOs and different money managers across the state between Oct 2018 and Dec 2018, and therefore the survey results embrace information on ninety-three hospitals. Despite [...]

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Emergency vehicle Owner Sent to Prison for Health Care Fraud

By |2019-05-03T18:31:06+00:00May 3rd, 2019|Medical Coding News and Recent Articles|

A 46-year-old Houston man has been requested to Federal jail following his conviction of scheme to submit human services extortion, reported U.S. Lawyer Ryan K. Patrick. Keeble Lovall conceded July 31, 2018, after under two days of preliminary and got notification from 10 witnesses. Click Here for the Full Story!

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Feds to sue Senator Steve Dickerson and other Pain Clinic proprietors over Forgery and Fraud Allegations

By |2019-05-02T23:03:35+00:00May 2nd, 2019|Medical Coding News and Recent Articles|

Federal and State Prosecutors are moving to file lawsuits charging Tennessee Senator Steve Dickerson and different proprietors of an immense Pain Management corporation of cheating the US Government with long stretches of unjustified tests, untrustworthy charging, and forged documents. Click Here to Read the Full Story!

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Florida Physician reports a HIPAA Breach that could affect over 60K patients

By |2019-05-01T20:09:57+00:00May 1st, 2019|Medical Coding News and Recent Articles|

Authorities at doctor administrations merchant EmCare in Florida have advised 60,000 patients, representatives and contractual workers about a cybersecurity occurrence that may have uncovered their own data. An unapproved individual had the capacity to get to various worker email accounts that contained clinical information and statistic data, alongside driver's permit and Social Security quantities of [...]

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Ex-Doctor blamed for Fraud consents to pay $82K Settlement

By |2019-04-30T16:01:24+00:00April 30th, 2019|Medical Coding News and Recent Articles|

A previous Maryland psychotherapist has consented to pay the territory of Maryland $82,000 to settle claims that he falsely charged Medicare and Medicaid for about five years, the lawyer general's office reported Tuesday. This is notwithstanding a $400,000 settlement he came to with the government before the end of last year. Click Here to Read [...]

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CMS uncovers 5 new installment models to redesign Primary Care

By |2019-04-29T16:50:09+00:00April 29th, 2019|Medical Coding News and Recent Articles|

CMS' Innovation Center is propelling an activity that gives Primary Care Practices five new installment alternatives, including three direct contracting models. Click Here to Read Six Important Things to Know!

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GAO Scrutinizes Insufficient Documentation as Cause for Improper Medicare and Medicaid Payments

By |2019-04-25T23:03:49+00:00April 25th, 2019|Medical Coding News and Recent Articles|

For quite a long time, Medicare and Medicaid have been included on a Government Accountability Office (GAO) rundown of government programs that are at an expanded danger of misrepresentation, waste, misuse, and bungle. GAO's investigations of FY 2017 program activities that gauges $27.5 billion in inappropriate installments implies it will probably make the rundown again [...]

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Trustees state Medicare Hospital Fund will run dry in seven years.

By |2019-04-24T20:03:10+00:00April 24th, 2019|Medical Coding News and Recent Articles|

The Trust support for Medicare Part A — which covers inpatient clinic and gifted nursing home consideration — will exhaust in seven years, as per the Medicare Board of Trustees' yearly report. Medicare Part A's Hospital Insurance Trust Fund will pay full advantages through 2026. That is that year the trustees' accounted for a year [...]

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Sutter Health settles Medicare Advantage upcoding case for $30 million

By |2019-04-22T19:01:38+00:00April 22nd, 2019|Medical Coding News and Recent Articles|

Sutter Health was supposedly associated with a training called upcoding, which alludes to the accommodation of mistaken or overstated data about the wellbeing status of a recipient so as to get a higher payout from CMS. Read the Full Story Here!

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