The Department of Justice has interceded in a claim against Sacramento, Calif.- based Sutter Health, charging the wellbeing framework and a partnered therapeutic establishment disregarded the False Claims Act by [...]
Maryland Treatment Centers has consented to pay the United States $500,000 to settle charges under the False Claims Act that it submitted false cases to the United States for psychological [...]
Final Policy, Payment, and Quality Provisions Changes to the Medicare Physician Fee Schedule for Calendar Year 2019 On November 1, 2018, the Centers for Medicare & Medicaid Services (CMS) issued [...]
CMS said it is ready to hook back $1 billion from Medicare Advantage associations by 2020 through far reaching reviews, as indicated by a proposed standard. Here are five things [...]
From 2011 to somewhere around 2014, Ascension All Saints Hospital's contracted anesthesiology aggregate efficiently overbilled Medicare and Medicaid for many dollars, as indicated by a government claim. It was brought [...]
Following up on our September 4th, 2018 post “MGMA Opposes Proposal to Consolidate E/M Codes”, The Coding Network has been actively tracking the status of the sweeping changes to the Physician [...]
A specialist has been accused of submitting social insurance misrepresentation out of her training in Stuart, Florida. The U.S. Lawyer for the Southern District of Florida, Shimon R. Richmond, Special [...]
OIG reviewed 191,118 Medicare paid distant-site telehealth claims, totaling $13.8 million, that did not have corresponding originating-site claims. The watchdog agency then reviewed provider supporting documentation to determine whether the [...]
A previous charging assistant at Preferred Family Health has been captured on doubt of Medicaid extortion. Vicki Chisam, 65, of Batesville is blamed for purposely putting forth false expressions to [...]
