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Federal government reclaims $3.3B+ in fraudulent healthcare claims

By |February 1st, 2017|

The Office of the Inspector General has reported that the federal government has recovered over $3 billion in fraudulent healthcare claims in the 2016 fiscal year.

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ICD-10 Service Offerings

By |January 1st, 2017|

ICD-10 Physician Training
We feel that the practitioners will feel the overwhelming brunt of the impact of ICD-10; they will no longer be able to characterize their patients’ illnesses and conditions the way they have since medical school. Since the 1st Quarter of 2014, TCN has been offering provider ICD-10 training for its clients as a new service. […]

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Medical Device Maker Biocompatibles Pleads Guilty to Misbranding and Agrees to Pay 36 Million

By |November 14th, 2016|

Pennsylvania-based medical device manufacturer Biocompatibles Inc., a subsidiary of BTG plc, pleaded guilty today to misbranding its embolic device LC Bead and will pay more than $36 million to resolve criminal and civil liability arising out of its illegal conduct, the Justice Department announced today. LC Bead is used to treat liver cancer, among other […]

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Millions in Medicaid Fraud from Chicago Area Man

By |July 29th, 2016|

Gregory D. Toran, 67, of Hazel Crest in the Chicago area has been convicted by U.S. District Judge Sue Myerscough for committing Medicaid fraud in estimation of $4.7 million for non-emergency medical transportion. He has been convicted on all accounts, and his sentencing is scheduled for Nov. 14.

You can read the full story here: https://www.sj-r.com/news/20160727/chicago-area-man-convicted-of-bilking-medicaid-for-millions

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Paradigm Spine Agrees to Resolve False Claims Act Allegations

By |June 16th, 2016|

Recently, the US Department of Justice made an announcement that Paradigm Spine has agreed to resolve false claim accusations levied against it concerning the coflex-F® device. The department has stated that Paradigm Spine has allegedly provided its health care providers with incorrect information on claiming reimbursement for the coflex device.

Read the full article here: […]

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Dermatology Physicians / Practice to Pay $1.9 Million to Settle Overbilling Medicare for E&M Services

By |April 21st, 2016|

Abusers of the Medicare system can sometimes be intentional or not, but the stories that really get significant attention of the public are the ones that highlight healthcare personnel that intentionally over bill Medicare.

There are several types of abuse including falsifying claim forms adjusting the actual cost of services, Billing for services and supplies that […]

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Internal ICD-10 Readiness Plan

By |January 2nd, 2016|

Per our Internal ICD-10 Readiness Plan, all of TCN’s coders are ICD-10 ready as of October 1, 2015. To accomplish this goal, TCN has used approximately 24 AHIMA certified ICD-10 trainers since December 31, 2014. These trainers have helped to teach our coding team as well as provide them with a resource should they confront any challenges in […]

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$750,000 HIPAA SETTLEMENT CAUSES OCR TO UNDERSCORE NEED FOR ORGANIZATION WIDE RISK ANALYSIS

By |December 18th, 2015|

In a $750,000 HIPAA Settlement, the University of Washington Medicine (UWM) has agreed to settle charges that it potentially violated the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Security Rule by failing to implement policies and procedures to prevent, detect, contain, and correct security violations.  UWM is an affiliated covered entity, which includes designated […]

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