DHS Examines Medicare Advantage Risk Adjustment Strategies
The following information appeared on, oig.hhs.gov “So far from what I understand in the evidence and data, it shows that…
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When audit, discipline are not enough, report defrauding providers
A recent case of false claims caught in an internal audit — but not reported to authorities — proved costly…
Medicare Fraud Controls Units (MFCU) Fiscal Year 2021 Annual Report
The following information appeared on, oig.hss.gov In 2021, the state and federal partners in MFCUs convicted 1105 individuals and recovered…
Physicians: Do Not Submit a Claim for a Specimen
The following information appeared on, cms.gov This is an interesting reminder that was sent out to Medicare Fee-for-Service providers. Only…
NCCI 2nd Quarter Updates 2022
The following information appeared on, cms.gov The NCCI Version 28 for physicians has a small set of additions, deletions, and…
12 Physicians Sentenced in $250 Million Billing Fraud Scheme
The following information appeared on, Beckers Hospital Review. Twelve physicians in Michigan and Ohio were among 16 defendants sentenced to…