Florida Dermatologist Agrees to Pay $2.5 Million
Dermatologist and owner of Treasure Coast Dermatology Tim Ioannides, located in Vero Beach and Port St. Lucie, Florida has agreed to pay $2.5 million in a resolution of allegations that he [...]
Florida AG Arrests Dentist and Office Manager for More Than $50,000 in Medicaid Fraud
Attorney General Pam Bondi and the Pembroke Pines Police Department arrested a dentist and their office manager for defrauding the Medicaid program out of more than $50,000. Read the full [...]
Bucks County dentist charged with $1.5M Medicaid fraud
Ilya Babiner, a Bucks County dentist, was charged Wednesday with 55 third-degree felony counts. Allegedly, the dentist filed a number of claims to the Medical Assistance Program between 2014 and [...]
Scripps will pay $1.5M to settle billing fraud case
Scripps Health in San Diego has agreed to settle allegations it violated the False Claims Act (paying $1.5 million), according to the Department of Justice. This resolves the allegations that [...]
CPT 2018 Changes for Orthopaedic Surgery
CPT 2018 Changes for Orthopaedic Surgery: It’s all about that Spine……almost By Heidi Stout, CPC, COSC, CCS-P Not much will change for orthopaedic surgery coding in 2018. Most of [...]
Repeal of MIPS – Recommendation to Congress, MedPAC 12 to 4 Vote
A top Congressional advisory body has voted to recommend that Congress repeal the Merit-based Incentive Payment System (MIPS) and replace it with a simpler quality reporting system that would not [...]
Charleston dentist sentenced to five years in federal prison for health care fraud
A Charleston dentist who falsely billed West Virginia Medicaid for more than $700,000 was sentenced today to 5 years in federal prison. Skaff, a dentist, admitted that he falsely inflated his billings [...]
Utah Pain Doctor and Medical Practice Settle Medicare Fraud Claims
On July 21st, 2017, Jahan Imani, M.D., and Intermountain Medical Management, P.C., (IMM), a Utah based pain management specialist and his practice, entered into a $399,895.92 settlement agreement with OIG. [...]
Syracuse Area Medical Practice Improperly Billed for Moderate Sedation Services
New York Spine and Wellness Center (under the umbrella of New York Anesthesiology Medical Specialties, P.C.) agreed today to pay $1,941,850.29 to resolve allegations that it improperly billed for moderate [...]
Under Michigan’s New Medicare RAC Regime, Physician Services Are the Initial Primary Target
An announcement came back in back in October 2016 from the Centers for Medicare & Medicaid Services (CMS). It announced that it had awarded to various entities the next round [...]