University of Missouri settles health care fraud claim
Settling a claim that their health care program committed fraud, the University of Missouri has agreed to pay the United States government $2.2 million. The program had been accused of [...]
Transition to ICD-10 easier than expected(ICD-10 slowdown of 14%)
The extreme predictions about the negative effects of moving to ICD-10 just didn’t happen. Now, over eight months later, one of the country's leading organizations which has been tracking the [...]
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 [...]
23 felonies for a Salinas medical office manager
An office manager who worked with a Salinas doctor was arrested and arraigned on 23 different felonies. Maria “Aloha” Eclavea faced 23 felony insurance charges which are related to her [...]
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 [...]
Calif State Medicaid Fraud Unit Recovers $795 Million in Judgements
California State Medicaid Fraud Control Unit: 2015 Onsite Review (OEI-09-15-00070) https://go.usa.gov/cpgj5 Why We Did This Study OIG oversees all State Medicaid Fraud Control Units (MFCUs or Units). As part of this oversight, [...]
Effects of ICD-10 on Coding Production – Example from MGMA Community
Now that ICD-10 has been rolled out, medical coding companies are feeling its effects. The Medical Group Management Association (MGMA) and its affiliates are having to recreate their processes in [...]
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 [...]
$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 [...]
Keyboarding Injury? ICD-10’s Got That Covered
The much delayed launch of ICD-10 code implementation finally occurred on Oct 1st, 2015. The new International Classification of Diseases, Revision 10 inflates coding options by the [...]