Part B Insider (Multispecialty) Coding Alert
Physician's Assistant Accused of Ordering Unnecessary Tests That Clinic Fraudulently Billed to Medicare
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Plus: CMS clarifies RAC discussion period vs. rebuttal/redetermination process The Dept. of Justice not only caught a practice with its hand in the till -- it found the practice stuffing the till with Medicare dollars. On July 22, the DOJ announced that it unsealed a 17-count indictment against four employees of a medical clinic in San Diego. The clinic's founders are accused of hiring "cappers" to bring in Medicare beneficiaries to the clinic so they could submit false claims to Medicare for the services. Another clinic employee, a physician's assistant (PA), allegedly ordered medically unnecessary tests and procedures that were later billed to Medicare. In addition, the PA is accused of "falsely holding himself out as a medical doctor to individuals at the clinic," according to the DOJ press release. To read more about this case, visit www.justice.gov/usao/cas/press/cas10-0722-Kagramanian.pdf.
Part B Insider (Multispecialty) Coding Alert
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Physician's Assistant Accused of Ordering Unnecessary Tests That Clinic Fraudulently Billed to Medicare
Plus: CMS clarifies RAC discussion period vs. rebuttal/redetermination processThe Dept. of Justice not only caught [...] - In other news
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