Benefit Change for Traditional Medicare
The following information appeared on cms.gov CMS released a September 29, 2022 MLN with a retro-dated change in the copays…
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Not PCG Software!
The following information appeared on justice.gov “The investigation of Public Consulting Group LLC (PCG) was initiated through the filing of…
Telehealth Fraud—OIG Report Recommendations
The following information appeared on oig.hhs.gov As we all are aware of the number of health care fraud prosecutions in…
Attention Medicare Providers: Are You Using an Outsource Company?
The following information appeared on ngsmedicare.com National Government Service recently sent out a provider notification that the MAC was receiving…
Podiatrist Convicted of $1.8 Million Healthcare Fraud Scheme
The following information appeared on justice.gov “A federal jury convicted a Michigan man today for his role in devising and…
Compliance Audit of Specific Diagnosis Codes that HumanaChoice (Contract R5826) Submitted to CMS
The following information appeared on oig.hhs.gov “We (OIG) sampled 270 unique enrollee years with the high-risk diagnosis codes for which…