Out of state. Still billing for in-person care.
A physician submitted claims while vacationing in Hawaii—and now faces criminal sentencing and a $500k civil payout.
Tag: Claims
You Can’t Lipstick That Pig: Why Physicians Must Carefully Vet Deals
Deals involving management services agreements, consulting contracts, or similar structures can appear completely legal at first glance. But dig deeper, and they might turn out to be elaborate covers for kickbacks or bribes.
Did They Sell Their Seoul? The $62+ Million Settlement
There’s a reason why Medicare Advantage is fertile ground for fraud enforcement.
Nudge Triggers a $17 Million False Claims Act Settlement
A fraud by any other name would smell as bad.
Will the Whistleblower Law Be Whistled Out?
Is the False Claims Act’s whistleblower provision illegal?
Federal District Court Finds Whistleblower Actions Unconstitutional
What if someone blows the whistle but it makes no sound?
Beware of Bogus Medicare and Medicaid Billings
Certifying to Medicare that you’re here when you’re really there is a ticket to nowhere, or maybe to jail.
“Loco Tenens” and Agency Pay $700K to Settle Alleged Telemedicine Kickback Scheme – Medical Group Minute
With physician shortages in many specialties opening up lucrative opportunities for locums work, temporary staffing is undergoing a boom.
“Loco Tenens” and Agency Pay $700K to Settle Alleged Telemedicine Kickback Scheme – Podcast
With physician shortages in many specialties opening up lucrative opportunities for locums work, temporary staffing is undergoing a boom.
Perhaps “Change Healthcare” Was Always A Cry For Help? The Two Real Lessons of the Change Healthcare Cyber Attack Debacle. – Medical Group Minute
The financial impact was immediate and momentous: Neither new nor existing claims, nor payment for them, could be processed.