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Category Archives: Blog

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Nov102021

Medicare Advantage Compliance Audit of Specific Diagnosis Codes that UPMC Health Plan, Inc (Contract H3907) Submitted to CMS

BlogNovember 10, 2021

The following information appeared on, oig.hhs.gov A new HHS-OIG audit recommends Medi-care Advantage organization, @upmchealth-plan, (University of Pittsburgh Medical Center)…

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Nov52021

Two Sentenced to Federal Prison for Health Care Fraud

BlogNovember 5, 2021

The following information appeared on, justice.gov Tampa, Florida – U.S. District Judge Virginia M. Hernandez Covington has sentenced Michael Nolan…

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Oct272021

MD Labs and it’s Co-Founders Agree to Pay Up to $16 Million to Resolve Allegations of Fradulent Billing

BlogOctober 27, 2021

The following information appeared on, justice.gov A Nevada-based clinical laboratory, MD Spine Solutions LLC, d/b/a MD Labs Inc., and two…

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Oct232021

New Reductions for PT and OT Assistant Payments

BlogOctober 23, 2021

The following information appeared on, CMS.gov Beginning Jan. 1, 2022, a 15% payment reduction for therapy services provided at least…

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Oct202021

2022 CPT New Codes

BlogOctober 20, 2021

The 2022 Annual AMA Symposium is virtual again. The Conference dates are November 17, 18 and 19th. There are 240…

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Oct202021

DME Fee Schedule Update for October 2021

BlogOctober 20, 2021

The following information appeared on, CMS.gov The DMEPOS fee schedule file contains fee schedule amounts for non-rural and rural areas.…

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