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Respironics to pay over $ 24 million in kickbacks scheme. Maryland, other states, and the federal government have reached a settlement with Philips RS North America LLC on behalf of Respironics, a subsidiary to resolve alleged false claims. The durable medical equipment (DME) manufacturer of devices such as ventilators, oxygen concentrators, CPAP and BiPAP machines, and […]
The post DME Manufacturer Settles in Alleged False Claims Act Violation appeared first on AAPC Knowledge Center.
The blood test distributor agrees to pay $ 195,000 to settle allegations that it violated the FCA. The U.S. Department of Health and Human Services Office of Inspector General (OIG) lately conducted an investigation into False Claims Act (FCA) violations by GlycoMark, Inc. The OIG alleges that GlycoMark encouraged providers to submit claims for its hyperglycemia […]
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Illinois Physician Settles Case Involving False Claims
The settlement agreement resolves allegations that Dr. Tolitano submitted claims for Healthcare Common Procedure Coding System (HCPCS) code 93965, when those claims were for a procedure that was already included as a component of the duplex ultrasound procedures for which Dr. Tolitano submitted claims using HCPCS codes 93970 or 93971 for the same beneficiary on the same dates of service.
The post Illinois Physician Settles Case Involving False Claims appeared first on The Coding Network.
On November 19, 2018, Southern Connecticut Vascular Center, LLC (SCVC), Stratford, Connecticut, entered into a $ 792,076.76 settlement agreement with OIG. The settlement agreement resolves allegations that SCVC submitted claims for Healthcare Common Procedure Coding System (HCPCS) code 96965 when those claims were for a procedure that was already included as a component of the duplex ultrasound procedures for which SCVS submitted claims using HCPCS codes 93970 or 93971 for the same beneficiary on the same dates of service. The OIG further contends that the submission of claims for HCPCS code 93965 were for a procedure that should not have been separately billed and was not medically necessary. Senior Counsels Geoffrey Hymans and Joan Matlack, with the assistance of Program Analyst Mariel Filtz, represented OIG.
The post Connecticut Diagnostic Services Provider Settles Case Involving False Claims appeared first on The Coding Network.
Sutter Health was supposedly associated with a training called upcoding, which alludes to the accommodation of mistaken or overstated data about the wellbeing status of a recipient so as to get a higher payout from CMS.
The post Sutter Health settles Medicare Advantage upcoding case for $ 30 million appeared first on The Coding Network.
A resigned New Haven oral specialist and his training consented to pay more than $ 250,000 to settle charges that they damaged government and state false case laws.
The post Resigned New Haven Oral Surgeon Settles False Claim Allegations appeared first on The Coding Network.
John H. Durham, United States Attorney for the District of Connecticut, today declared that HELAR CAMPOS, MD, a doctor with a training in New London and Norwich, has gone into a common settlement with the administration in which he will pay $ 99,912 to determine charges that he abused the False Claims Act.
The post Southeastern Connecticut Doctor Settles under the False Claims Act for Nearly 100K appeared first on The Coding Network.
From Nov. 1, 2007 through Dec. 31, 2016, Banner Health billed Medicare for short-stay, inpatient procedures provided at 12 of its hospitals in Arizona and Colorado that should have been billed on a less costly outpatient basis, and inflated in reports to Medicare the number of hours for which patients received outpatient observation care, according […]
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Fredericksburg Hospitalist Group, located in Richmond, VA, and fourteen of its member shareholders have agreed to pay nearly $ 4.2 million to settle a federal FCA case brought under the “qui tam whistleblower” provisions. Dana J. Boente, U.S. Attorney for the Eastern District of Virgini, said, “Rooting out fraudulent billing by healthcare providers is a priority. This office will continue to pursue such matters vigorously.
Read the full article here: https://www.justice.gov/usao-edva/pr/fredericksburg-hospitalist-group-pays-42-million-settle-civil-fraud-case
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eClinicalWorks (ECW), located in Westborough, Mass., has agreed to pay $ 155 million to avoid prosecution for alleged False Claims Act violations. The U.S. Department of Justice (DOJ) accused ECW of misrepresenting the capabilities of its electronic health record (EHR) software and paying kickbacks to certain customers in exchange for promoting its product. The DOJ contends that […]
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