A physician in Newark, Del., has agreed to pay $180,000 to resolve False Claims Act allegations relating to fraudulent genetic testing. Between April and November 2019, Shayasta Mufti, MD, ordered medically unnecessary genetic tests for more than 100 Medicare patients,…
ASC Coding, Billing & Collections
In 2024, 1.8% of physicians were sued in the previous year, down from 2.3% in 2016 and a peak of 7.4% annually between 1991 and 2005, according to research from the American Medical Association. The AMA published two policy research…
In an updated analysis of a 2020 report, “Reducing Medicare Costs by Migrating Volume from Hospital Outpatient Departments to Ambulatory Surgery Centers,” the Ambulatory Surgery Center Association lays out the cost savings generated by ASCs since 2019 and projects how…
Physician net worth is climbing, with the share of physicians worth $5 million or more nearly doubling since 2023, but beneath that number, significant gaps persist across gender and race, according to Medscape’s 2026 “Physician Wealth and Debt Report.” Physician…
Gaps in pay between male and female physicians persist despite the fact that the number of women in U.S. medical training programs recently lapsed that of men. Disparities in compensation look different across specialties, regions and other demographics, but female…
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CMS will require all states to audit healthcare providers participating in Medicaid in an effort to address alleged fraud, Politico reported April 21. Administrator Mehmet Oz, MD, unveiled the plan at Politico’s Health Care Summit. CMS will require all states…
Jonathan Morris, MD, a physician and practice owner in Columbia, Mo., was indicted April 8 on 23 counts of healthcare fraud and 15 counts of illegally prescribing controlled substances. From at least May 1, 2019, through April 8, 2025, Dr.…
A Florida ophthalmology practice and its former owner have agreed to pay $415,000 to resolve False Claims Act allegations related to fraudulent billing for brain blood flow diagnostic tests, the Justice Department said in an April 22 news release. Between…
Two St. Louis-area physicians and a chiropractor have been sentenced for their roles in a $4.7 million healthcare fraud and opioid prescription scheme involving Medicare, Medicaid and Tricare, the Justice Department said in an April 15 news release. Jerry Leech,…
Allstate filed a federal lawsuit on April 17 alleging Brentwood, Tenn.-based Surgery Partners, and nine of its Florida subsidiaries conducted a coordinated scheme to defraud the payer of millions of dollars through false medical billing, according to court documents reviewed…