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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.
The US Attorney for Manhattan, New York, and a Special Agent for the OIG’s New York Regional Office, announced today that the US Federal Government has settled a civil fraud suit against Lenox Hill (a Manhattan Hospital) and its corporate parent Northwell. The Government’s complaint alleges that the two Defendants violated the False Claims Act by knowingly and fraudulently billing Medicare for healthcare services that didn’t comply with Medicare law.
The post Lenox Hill Hospital Pays $ 12.3 Million Settlement For Submitting Fraudulent Medicare Claims appeared first on The Coding Network.
A previous Maryland psychotherapist has consented to pay the territory of Maryland $ 82,000 to settle claims that he falsely charged Medicare and Medicaid for about five years, the lawyer general’s office reported Tuesday. This is notwithstanding a $ 400,000 settlement he came to with the government before the end of last year.
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The post Ex-Doctor blamed for Fraud consents to pay $ 82K Settlement appeared first on The Coding Network.
A Newton specialist has consented to pay $ 680,000 to determine charges that he disregarded the False Claims Act by submitting expanded cases to Medicare and the Massachusetts Medicaid program (MassHealth) for consideration to nursing home patients, the US Attorney’s Office and the Attorney General reported Thursday.
The post Newton Doctor Accused Of Fraud To Pay $ 680K In Settlement appeared first on The Coding Network.
A San Diego whistleblower will receive $ 17. 2 mil with the settlement of a 7-year-old false statements|lawsuit against Prime Healthcare Care regarding overbilling for Medicare services at California hospitals.
The post Whistleblower Sharing in Settlement from Prime Healthcare appeared first on The Coding Network.
The Inspector General of the Department of Health and Human Services fined eClinicalWorks $ 132K for violating a 2017 agreement which had required them to report patient safety issues with its EHR in a timely manner.
The post eClinicalWorks Fined For Failing To Comply With DOJ Settlement Agreement appeared first on The Coding Network.
9 specialists from Southwest Orthopaedics (based in OKC) agreed to pay $ 670,000 to settle civil claims stemming from allegations they submitted false claims.
The post Southwest Orthopaedics Physicians to Pay Settlement appeared first on The Coding Network.
US Attorney Maria Lopez announced that FWC Urogynecology, LLC, in Florida, has agreed to pay the US $ 1,700,000.00 to resolve allegations that it violated the False Claims Act by knowingly billing the government for services that were inflated or that it did not provide.
The post FWC Urogynecology Agrees To Pay $ 1.7 Million in Settlement appeared first on The Coding Network.
The US Attorney’s Office for the Eastern District of Missouri announced today that the US, Foot Healers, and its subsidiaries (Foot Healers) reached a civil settlement that will resolve the US’s claims against Foot Healers under the False Claims Act for knowingly submitting false claims to Medicare for podiatry services.
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The post United States Reaches $ 125,000 Civil Settlement appeared first on The Coding Network.