Unnecessary procedures cost Kentucky cardiologist $1M, 5 years in prison

Unnecessary procedures cost Kentucky cardiologist $1M, 5 years in prison.  Medical procedures and orders must be backed by supporting chart documentation and appropriate ICD-10 coding.  All government and commercial payors use claims data to build and compare provider profiles. A  Compliance program which includes services such as MyMeducator.com staff e-learning programs, external chart audits, and outside compliance specialists like HMCExperts.com would identify these type ...

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United States Settles False Claims Act Allegations Against Orthopedic Surgery Practice For $4,488,000

A Florida orthopedic office has agreed to pay $4.4 million in medicare fraud claims.  This recoupment is for all the things we frequently uncover as outside auditors:  “incident to” billing errors, modifier misuse, bundled services billed in global periods, and lack of medical necessity documented.  Compliance services such as MyMeducator.com staff e-learning programs, external chart audits, and outside compliance specialists like HMCExperts.com would have uncovered these ...

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Dermatologists are high on the DOJ and CMS investigations this year as they worked to recover more than $2.5 billion in Medicare fraud cases.

MOHS services targeted for audit in 2019.  Dermatologists are high on the DOJ and CMS investigations this year as they worked to recover more than $2.5 billion in Medicare fraud cases. Compliance services such as MyMeducator.com staff e-learning programs, external chart audits, and outside compliance specialists like HMCExperts.com have helped many providers avoid these costly mistakes.

 

The US Department of Justice (DOJ) and the Centers for ...

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Justice Dept Recovered $2.5B from Healthcare False Claims in 2018

2018 HEALTHCARE TAKEDOWN

By the numbers

601 Defendants charged, including:

165 Medical Professionals

$2.5 billion in Losses

587 Exclusions Issued

58 Federal Districts

30 Fraud Control Units

350 OID Agents

 

2018 healthcare fraud settlements exceed $2 billion dollars for the 9th consecutive year.  Compliance services such as MyMeducator.com staff e-learning programs, external chart audits, and outside compliance specialists like HMCExperts.com Continue Reading →

Video Game may provide an early indication of Alzheimer’s

Alzheimer’s disease is typically first noticed in the form of memory problems, although the condition is typically quite advanced by that stage. In order to catch it earlier, scientists have developed a video game that assesses players’ spatial navigation skills.

Called Sea Hero Quest, the game can be played on smartphones or tablets, and was developed in a partnership between Germany’s Deutsche Telekom, France’s CNRS research group, and Britain’s ...

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