In Billing
Oct 18th, 2019
The government is keeping a close eye on how you are coding claims. Are you? The Office of Inspector General (OIG) is updating its Work Plan this month with new watch items that pertain to Medicare. At press time, there were five additional items the OIG intends to pursue in 2020. OIG Work Plan items ...
In CMS
Oct 10th, 2019
Former owner of a chain of skilled nursing and assisted living facilities in South Florida faces a 20-year sentence after being found guilty of a decades-long scam of paying bribes and receiving kickbacks in a massive billion-dollar Medicare fraud and money laundering scheme. This extensive healthcare fraud conspiracy resulted in hundreds of millions of dollars ...
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, ...