In Coding
Jul 23rd, 2019
Bay City, Michigan surgeon Vasso Godiali, MD, was indicted on July 10, 2019, for allegedly orchestrating a $60 million healthcare fraud scheme. He is also charged with money laundering for financial transactions involving almost $50 million in proceeds from the scheme. The indictment comes from both the federal government and Michigan state authorities because it ...
In Billing
Jul 8th, 2019
Free resources that will help you report provider services accurately. Due to productivity demands, medical coders may be tempted to rely on word of mouth for answers to coding questions, rather than to read guidelines, policies, rules, and instructions to substantiate coding decisions. Although seeking the advice of knowledgeable and experienced coders may be necessary ...
HEALTHCON 2019 (April 28-May 1 in Las Vegas) is for everyone on the business side of healthcare, and provides cutting-edge education, networking, and other opportunities to attendees. Expert speakers, such as Office of Inspector General (OIG) Special Agent Tony Maffei, help make this a professional event you can’t miss. AAPC asked Maffei about his presentation, ...
In CMS
Nov 14th, 2018
Another opioid pill mill gets busted by the Medicare Fraud Strike Force. A “pain management clinic” in Hialeah, Florida, owned by David Bosch and Tania Sanchez, which operated under the name East Medical Office Inc., unlawfully distributed thousands of pills of oxycodone, during the period of April 2017-May 2018. It was a cash-only clinic, which remained ...
Sep 11th, 2018
Comments Off on OIG Work Plan: July 2018 Need-to-know Updates
Make time to compare your compliance efforts with OIG’s monthly work plan updates. It has been a year since the Office of Inspector General (OIG) changed its Work Plan format and began issuing monthly updates. The monthly breakdown provides updates and better transparency of the OIG’s efforts. Healthcare organizations and provider offices should take time ...