In Billing
Jan 25th, 2019
School faculty often does whatever it takes to help out a student to ensure they thrive in their educational environment. And then, there is Casey Smitherman, the superintendent of Elwood Community Schools in Indiana, who took nurturing to an extreme when she committed fraud to treat a student with strep throat. Smitherman was booked on ...
Sep 16th, 2015
If you think a scam where orthopedic surgeries were performed by a physician assistant (PA) who never attended medical school is bad, wait until you hear the rest of the story. According to the Los Angeles County district attorney’s office, Munir Uwaydah, M.D., did not even oversee the PA’s surgery, yet he billed it as his work. The patients were told a board-certified orthopedic ...
Feb 13th, 2015
The Denver Post published an article about an Ohio podiatrist, Anthony Innocenzi, MD, who practiced medicine in Grand Junction, Colorado, and who pleaded guilty to Medicare fraud. The case is important, and should make providers pause and think, because it demonstrates that even a small amount of inappropriately obtained money can serve as the basis ...
In CMS
Dec 3rd, 2014
The Centers for Medicare & Medicaid Services (CMS) is using new Affordable Care Act authority to combat fraud, waste, and abuse in the Medicare system. The agency announced new safeguards to strengthen provider oversight and protect taxpayer dollars from future abuse. The final rule will help prevent physicians and other providers with debt “from re-entering ...