Part B Insider (Multispecialty) Coding Alert
Kentucky Physician Pays Over $300,000 to Settle Double-Billing Allegations
PDF
Plus: It's up to you to find out if your employees are excluded from Medicare. A Kentucky doctor may have shared vials of infusion drugs between patients, but he didn't share the savings with Medicare, the Department of Justice alleges. The physician, who owned a Bone and Joint practice, agreed to pay $349,860 to settle overbilling allegations this week after a former employee alleged that he split vials of rheumatoid arthritis drug Infliximab across multiple patients, but billed Medicare as if he used a whole vial for each patient. The physician must also pay attorney fees and expenses of the former employee who blew the whistle on his wrongdoing. The whistleblower will also get a $70,000 payment as her "relator's share" of the settlement. To read more about this case, visit www.justice.gov/opa/pr/2011/September/11-civ-1260.html.
Part B Insider (Multispecialty) Coding Alert
- Part B Mythbuster:
99221-99223: Are These Merely 'Admit' Codes, or Can Non-Admitting Docs Report Them?
Get to the bottom of this growing myth and you'll be on the road to [...] - Immunization Coding Primer:
Torn Between V06.6 And V04.81 for Vaccine Diagnoses? We've Got You Covered
Iron out your immunization coding regs to keep collecting your due.It's that time of year [...] - Part B Revenue Booster:
Keep Money Flowing With These 6 Income Opportunities
Take the time to ensure that you aren't bleeding revenue in these areas.Just because Medicare's [...] - Part B Coding Coach:
4 Tips Help Streamline Your Pulmonary Rehab Reimbursement
G0424 requires monitored exercise, and an hour's therapy of up to two sessions per day [...] - Physician Note:
Kentucky Physician Pays Over $300,000 to Settle Double-Billing Allegations
Plus: It's up to you to find out if your employees are excluded from Medicare.A [...] - In other news
Check and double check your employees for exclusion from federal health care programs. That's a [...] - Reader Question:
List As Many PQRS Codes As Needed
Question: Can we report more than one PQRS code measure on the same claim?Answer: Yes. [...]