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Billing consultant implicated in healthcare provider’s wrongdoing. Can I be prosecuted for fraud because of my involvement in submitting a false claim? This is a common question from coding and billing personnel, especially when they have concerns regarding the codes and modifiers they are directed to bill relative to provided healthcare services and supplies. While […]
The post FCA Settlement Clarifies False Claims Liability for Consultants appeared first on AAPC Knowledge Center.
Nothing stays the same, including the way the feds interpret the law. The False Claims Act (FCA) has become the government’s fraud enforcement vehicle of choice, and the changes to the FCA under the Fraud Enforcement Recovery Act of 2009 (FERA) and the Affordable Care Act (ACA) have enhanced the Department of Justice’s (DOJ’s) enforcement […]
The post The Evolution of Fraud Liability appeared first on AAPC Knowledge Center.
First Assistant U.S. Lawyer Jennifer Arbittier Williams proclaimed that Richard P. Frey, D.O., and Physicians Alliance Ltd. (“PAL”) have agreed to pay nearly $ 180,000 to resolve liability underneath the False Claims Act for the alleged improper charge of “P-Stim” devices. From may 2013 through June 2014, Frey and PAL billed Medicare for the implantation of neurostimulator electrodes, a surgical operation generally necessitating an OR for which Medicare reimburses thousands of dollars. Frey didn’t conduct surgery, however. Instead, he applied a “P-Stim” device in a workplace setting while not using surgery methods or general anaesthesia.
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The post Doctor’s Practice to Pay Nearly $ 180K to Resolve False Claims Act Liability Regarding “P-Stim” Devices appeared first on The Coding Network.