In Audit
Mar 2nd, 2015
According to the U.S. Attorney’s Office in Syracuse, Bonnie Meislin, office manager of Upstate Pain Medicine, was found guilty on February 25 of healthcare fraud and conspiring to defraud Medicare with her former employer, Mahesh Kuthuru, MD. According to The Associated Press’s News Day, “Prosecutors say Meislin worked for Dr. Mahesh Kuthuru’s Upstate Pain Medicine offices in ...
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 ...
Expanded oversight requires action on all fronts. By Michael D. Miscoe, JD, CPC, CASCC, CUC, CCPC, CPCO A key purpose of the Office of Inspector General’s (OIG) annual Work Plan is to report on new and ongoing areas in healthcare thought to be susceptible to fraud, waste, and abuse. This year, OIG will continue to ...
Be sure finances have no bearing on the clinical basis supporting patient treatment. by Michael D. Miscoe, JD, CPC, CASCC, CUC, CCPC, CPCO Q: Our practice has been communicating with patients through a patient portal, and we have run into a possible legal issue. Suppose a patient sends a message to the practice through the portal ...
Oct 1st, 2014
The Office of Inspector General (OIG) issued on September 18 a Special Advisory Bulletin (SAB) and an Office of Evaluations and Inspections (OEI) report that discussed the potential Anti-kickback issues for pharmaceutical companies and pharmacies associated with offering co-payment and/or discount coupons. The SAB defines co-payment coupons as “any form of direct support offered by a manufacturer ...