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|

DOJ Pursues a Number Of EHR Cases: Five Things For You to Understand

The United States DOJ is initiating direct legal proceedings against Hospitals, Health Care systems, and Medical Technology Corporations for submitting an exhaustive number of false claims to both Medicare and [...]

By |2020-04-13T18:08:30+00:00June 21st, 2019|