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2018 CPC Practice Exam Answer Key 150 Questions With Full Rationale (HCPCS, ICD-9-CM, ICD-10, CPT Codes) Click here for more sample CPC practice exam questions with Full Rationale Answers

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Neurosurgeon Medical Practice Director to Pay Over $1 Million

Neurosurgeon Medical Practice Director to Pay Over $ 1 Million

Neurosurgeon Medical Practice Director to Pay Over $ 1 Million to Resolve False Claims Act Liability Arising from Billing of P-Stim Devices. PHILADELPHIA – First Assistant United States Attorney Jennifer Arbittier Williams announced that neurosurgeon Sagi M. Kuznits, practice director Pnina Kuznits, and Neurosurgical Care LLC (collectively, “Kuznits”), have agreed to pay $ 1,017,375.03 to resolve liability under the False Claims Act for the alleged improper billing of electro-acupuncture devices called Stivax and/or P-Stim and a memory-loss device called eVox.

From February 2017 through July 2018, Kuznits billed Medicare, TRICARE, and the Federal Employees Health Benefit Program for the implantation of neuro-stimulators – a surgical procedure which usually requires an operating room and which is reimbursed by federal healthcare programs – when in fact the only procedures performed had been the non-surgical application of P-Stim and Stivax by a physician assistant.

In addition, Kuznits billed Medicare for a physician assistant’s application of an “eVox” device.

“We continue to work closely with our partners at CMS’s Center for Program Integrity, the Department of Health and Human Services Office of Inspector General, other federal healthcare programs, state partners, and sister U.S. Attorney’s Offices around the country to hold accountable any other providers who inappropriately billed this device and any product distributors or marketers who may have devised or carried out such a billing scheme,” stated First Assistant U.S. Attorney Williams.

“We thank our partners at the Department of Justice and Department of Health and Human Services Office of Inspector General for working hard with us to identify, investigate, and eliminate waste, fraud and abuse in our federal healthcare programs.”

“Accurately billing for services provided to Medicare beneficiaries is required of all health care providers,” said Maureen R. Dixon, Special Agent in Charge for the U.S. Department of Health and Human Services, Office of the Inspector General.

The post Neurosurgeon Medical Practice Director to Pay Over $ 1 Million appeared first on The Coding Network.

The Coding Network

Neurosurgeon radiation treatment planning with a radiation oncologist physcian.

Hi All,

I am new to auditing and have a question. I appreciate any feed back I can get as well as reference materials (if possible).
I have a neurosurgeon who at times will resect a spinal metastatic tumor then partner up with the radiation oncologist to obtain a radiation treatment plan for the patient. He insists on billing 63620. However, my understanding is, if he has already performed the surgical resection the planning is already included in this code. Can this code be billed in this case?
Second scenario is if he does not perform a surgical resection, however, is part of the radiation planning, can he bill this code in this scenario. Again, I am very appreciative and grateful for any assistance/advice.

Thank you
Deborah Torres CPC, CPMA

Medical Billing and Coding Forum

Neurosurgeon created dural tear during procedure, thinks he can charge for it!

Hello….if a doctor creates a dural tear during a Neurosurgery procedure (looks like he created the tear when he removed a synovial cyst), he cannot charge for that, correct? Do any of you know of any articles that explain this scenario? Doctor doesn’t understand why he can’t charge for it. Sigh.

Medical Billing and Coding Forum