A Texas-based company, Konaniah Medical Supplies, is implicated in a suspected Medicare fraud scheme involving billing for urinary catheters that beneficiaries never ordered or received. The company, along with its associated entity G&I Ortho Supply in New York and eight other medical supply compan...
One example of Medicare fraud is an office billing Medicare for an appointment that a patient missed. Healthcare abuse occurs when healthcare facilities do not provide standardized medical care and bill Medicare for unnecessary treatments or procedures. It can also occur through coding errors, up...
Focuses on the existence of fraud in the form of upcoding and false billing in health care services in the United States. Majority of medical providers as practicing and billing honestly and ethically; Health...
Introduction Find out what auditors look for in uncovering potentially fraudulent billing practices and why physicians need to familiarize themselves with sound coding and billing practices. Some doctors and hospitals already know - or should know - exactly which activities violate Medicare fraud and abu...
The Center for Medicare and Medicaid servicesis poised to take bigger steps in preventing fraud and abuse by increasing its monitoring and analytics capabilities. CMS will conduct enrollment and medical claims analytics to keep frauds out of Medicare, for this some necessary technology is already depl...
Focuses on the existence of fraud in the form of upcoding and false billing in health care services in the United States. Majority of medical providers as practicing and billing honestly and ethically; Health care fraud's attraction of entrepreneurial, non-medical criminals; Other forms of misrepr...
6 FIGHTING HEALTH CARE FRAUD AND ABUSE Bilking Medicare out of $47 Billion During FY 2009, the federal government reported that it paid more than $47 billion in questionable—and possibly fraudulent—Medicare claims and an- other $18.1 billion in questionable Medicaid claims. Although this report...
In addition, the author notes that the MUE program is part of the effort of CMS to suppress billing fraud and abuse as well as provide services for quick reporting of legitimate medical services. It also cites the common medical services along with their equivalent MUEs.Stegman...
Violations of Medicare laws and the Medicare Fraud and Abuse Statute also constitute violations of the False Claims Act.
How to steer clear of fraud and abuseHudson T.T HudsonHospitals & health networks / AHA T Hudson - 《Hosp Health Netw》 被引量: 2发表: 1996年 BILLING, CODING, AND DOCUMENTATION IN THE CRITICAL CARE ENVIRONMENT The Health Insurance Portability and Accountability Act of 1996 (Public Law 104-...