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Pakistani transcriber threatens UCSF over back pay

A woman in Pakistan doing cut-rate clerical work for UCSF Medical Center threatened to post patients’ confidential files on the Internet unless she was paid more money. To show she was serious, the woman sent UCSF an e-mail earlier this month with actual patients’ records attached.

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By |June 18th, 2018|Medical Coding News and Recent Articles|Comments Off on Pakistani transcriber threatens UCSF over back pay

Missouri hospital allegedly fired coder for refusing to ignore improper billing

Debra Conrad, a medical coder sued Mosaic Life Care Medical Center in St. Joseph, Mo., May 25 for wrongful discharge, unlawful retaliation and age discrimination. She alleges Mosaic Life Care fired her for disclosing the hospital’s fraudulent billing practices.

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By |June 15th, 2018|Medical Coding News and Recent Articles|Comments Off on Missouri hospital allegedly fired coder for refusing to ignore improper billing

Woman convicted for filing false medical claims

Lajuana Scott was sentenced to one year in jail and five years on probation following her conviction of three felony counts of embezzlement from a nonprofit or charitable organization. The former clinic biller made Medicaid claims for services never performed and then used nonprofit money for personal use.

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By |June 13th, 2018|Medical Coding News and Recent Articles|Comments Off on Woman convicted for filing false medical claims

Cambria County Plastic Surgeon Pleads Guilty to almost $300K in Medicaid and Insurance Fraud

Josh Shapiro, Attorney General, announced that a Johnstown plastic surgeon pleaded guilty today to two felonies. The surgeon bilked private insurers and the Medicaid program out of almost $300,000 by routinely billing Medicaid and private insurers for cancer treatments – even when the growths were not cancerous.

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By |June 10th, 2018|Medical Coding News and Recent Articles|Comments Off on Cambria County Plastic Surgeon Pleads Guilty to almost $300K in Medicaid and Insurance Fraud

Investigation Targets Medicaid Transportation Fraud in the North Country

13 people were arrested this week as part of a federal and state investigation into Medicaid fraud allegedly committed by the owners and operators of medical transportation companies based in Essex County.

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By |June 6th, 2018|Medical Coding News and Recent Articles|Comments Off on Investigation Targets Medicaid Transportation Fraud in the North Country

California Workers Comp Division Suspends Three Medical Providers for Fraud

The California Division of Workers’ Compensation has recently suspended 3 more medical providers from participating in the state’s system, bringing the total number of providers suspended to 245.

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By |June 4th, 2018|Medical Coding News and Recent Articles|Comments Off on California Workers Comp Division Suspends Three Medical Providers for Fraud

Data breach may have affected over 500,000 patients

LifeBridge Health in Baltimore notified more than 500K patients last week. They were informed that their personal information may have been compromised during a security breach in 2016 (around September). Becker’s Hospital Review was told on May 23rd that on March 18th, malware was discovered on the server that hosts ePHI data for the affiliated […]

By |June 1st, 2018|Medical Coding News and Recent Articles|Comments Off on Data breach may have affected over 500,000 patients

United States Reaches $125,000 Civil Settlement

The US Attorney’s Office for the Eastern District of Missouri announced today that the US, Foot Healers, and its subsidiaries (Foot Healers) reached a civil settlement that will resolve the US’s claims against Foot Healers under the False Claims Act for knowingly submitting false claims to Medicare for podiatry services.

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By |May 30th, 2018|Medical Coding News and Recent Articles|Comments Off on United States Reaches $125,000 Civil Settlement

Ellington Psychiatrist To Pay Over $800,000 In False Claims Act Allegations Settlement

US Attorney John H. Durham and CT Attorney General George Jepsen announced that Ellington BEhavioral Health (“EBH”) has entered into a civil settlement agreement with the federal and state governments to pay $805,071 to resolve allegations that they violated the federal and state False Claims Acts. The government alleges that EBH submitted claims to Medicare […]

By |May 28th, 2018|Medical Coding News and Recent Articles|Comments Off on Ellington Psychiatrist To Pay Over $800,000 In False Claims Act Allegations Settlement

Regulatory Requirements Drive Dissatisfaction With EHRs

Regulatory requirements are likely to be an important aspect of physician dissatisfaction with electronic health records (EHRs) that is driving burnout, according to an Ideas and Opinions piece published online May 8 in the Annals of Internal Medicine.

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By |May 25th, 2018|Medical Coding News and Recent Articles|Comments Off on Regulatory Requirements Drive Dissatisfaction With EHRs