In what the federal government called the “largest Justice Department healthcare fraud takedown in history,” 324 individuals — including 96 medical providers — have been arrested in connection with schemes that amount to $14.6 billion in fraud, according to a…
ASC Coding, Billing & Collections
Across the healthcare landscape, prior authorization is undergoing significant changes aimed at reducing administrative burden and expediting care delivery. Here are three major updates to know: 1. Nearly 50 health insurers, representing commercial, Medicare Advantage and managed Medicaid plans covering…
A Washington, D.C., physician has been sentenced to 18 years in prison for illegally prescribing narcotics in exchange for cash, the Justice Department said in a June 26 news release. What happened?
A Bloomfield, Mich.-based physician was sentenced to four years in prison in a $6.3 million Medicare fraud scheme involving medically unnecessary orthotic braces, the Justice Department said in a June 26 news release. What happened?
Here are five physician fraud cases Becker’s has reported on since June 17: 1. Columbus, Ohio-based Robert Florea, MD, was sentenced to 24 months in prison for a $1.5 million Medicaid fraud scheme. Dr. Florea fraudulently billed the Ohio Department…
Advertisement
A Columbus, Ohio-based former physician was sentenced to 24 months in prison for a $1.5 million Medicaid fraud scheme, the Ohio Attorney General said in a June 25 news release. What happened?
Treating personal injury patients can be a high-reward model—but for many providers, the administrative overhead makes it feel more like a liability than an opportunity. Delays in reimbursement, ever-changing documentation requirements, and a growing volume of legal requests have made…
A Chesterfield, Mo.-based physician has been sentenced to five years in prison and ordered to pay $2.87 million in restitution for his role in a healthcare fraud scheme, the Justice Department announced in a June 20 news release. What happened?
Two Florida physician groups and two physicians have agreed to pay $810,301 to settle allegations that they violated the False Claims Act, the Justice Department said in a June 20 news release. What happened?
Nearly 50 major insurers have announced a sweeping set of voluntary commitments aimed at simplifying prior authorization processes across commercial, Medicare Advantage and Medicaid managed care plans, potentially affecting 257 million Americans. Here’s what ASCs need to know: 1. Participating…