Federal government reclaims $3.3B+ in fraudulent healthcare claims
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. Read More Here
ICD-10 Service Offerings
Our ICD-10 Service Offerings 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 [...]
Medical Device Maker Biocompatibles Pleads Guilty to Misbranding and Agrees to Pay 36 Million
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 [...]
Millions in Medicaid Fraud from Chicago Area Man
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
Paradigm Spine Agrees to Resolve False Claims Act Allegations
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: [...]
Dermatology Physicians / Practice to Pay $1.9 Million to Settle Overbilling Medicare for E&M Services
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 [...]
Internal ICD-10 Readiness Plan
Internal ICD-10 Readiness Plan 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 [...]
$750,000 HIPAA SETTLEMENT CAUSES OCR TO UNDERSCORE NEED FOR ORGANIZATION WIDE RISK ANALYSIS
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 [...]