Doctor’s Practice to Pay Nearly $180K to Resolve False Claims Act Liability Regarding “P-Stim” Devices

First Assistant U.S. Lawyer Jennifer Arbittier Williams proclaimed that Richard P. Frey, D.O., and Physicians Alliance Ltd. (“PAL”) have agreed to pay nearly $180,000 to resolve liability underneath the False [...]

By |2020-04-13T18:06:44+00:00September 24th, 2019|

The OIG calls out a CA Medical Group for Inaccurate Charges

Santa Monica, California based Oceanside MedicalGroup did not comply with Medicare necessities when charging for psychotherapy services, in keeping with a report from Health and Human Service's OIG. The Office [...]

By |2020-04-13T18:07:08+00:00September 12th, 2019|

Gate City Transportation Sentenced For Health Care Fraud For Over $5 Million

A Greensboro-based medical transport company was sentenced in court for health care fraud after pleading guilty to one count of health care fraud in October 2018, according to US Attorney [...]

By |2020-04-13T18:07:24+00:00August 19th, 2019|

Medicare Advantage Supplier and Doctor to Pay $5 Million to Settle False Claims Act Allegations

Beaver Medical Group L.P. (BMG) and a doctor who works for it, Dr. Sherif Khalil, have agreed to pay a little over the amount of $5 million to resolve accusations [...]

By |2020-04-13T18:07:33+00:00August 14th, 2019|

Proposed Policy, Payment, and Quality Provisions Changes to the Medicare Physician Fee Schedule for Calendar Year 2020

On July 29, 2019, the Centers for Medicare Services (CMS) issued a projected rule that has proposals to update payment policies, payment rates, and quality provisions for services equipped beneath [...]

By |2020-04-13T18:07:41+00:00August 1st, 2019|

$1.85 Million Paid to Settle Urology Modifier 25 Whistleblower Case

Separately asking routine evaluation and management (E/M) services provided on a similar day as another procedure is usually denied by Medicare. Care providers might typically individually bill E/M services if [...]

By |2020-04-13T18:08:11+00:00July 19th, 2019|