Advanced Search

Medicare Compliance & Reimbursement

INDUSTRY NOTES :

Nevada Radiology Group Gets $2 Million Fine

Published on Tue Mar 10, 2009

Plus: One RAC reveals information about how it will evaluate claims during its review process. Think it's okay to provide diagnostic tests without physician orders? One Las Vegas radiology practice is paying dearly for making that mistake, among others. The physician-owned practice will pay $2 million to resolve allegations that it submitted false claims to Medicare, the OIG announced in a March 25 press release. The settlement -- one of the largest ever negotiated under the OIG's Civil Monetary Penalties authority -- will resolve the following allegations against the practice: • Improperly providing diagnostic tests to Medicare beneficiaries without the required treating physicians' orders • Billing for certain tests under CPT codes not supported by the medical records • Failing to satisfy "certain other Medicare billing and coverage requirements," the OIG noted in its press release. "OIG will investigate and pursue enforcement actions against health practitioners who engage in a pattern [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Medicare Compliance & Reimbursement

View All