A Louisville, Ky., physician agreed to pay $250,000 to resolve allegations that he and his practice submitted false claims to Medicare, Medicaid and TriCare by improperly billing services performed by nurse practitioners, according to an Aug. 28 Justice Department news…
ASC Coding, Billing & Collections
Walnut Creek, Calif.-based American Psychiatric Centers agreed to pay $2.75 million to settle allegations it submitted false psychotherapy claims to government payers, the Justice Department said in an Aug. 20 news release. What happened?
A Lake Forest, Ill., physician was sentenced to 34 months in prison for fraud, hiding assets and lying to the IRS about his ability to pay $1.6 million in taxes, penalties and interest, the Justice Department said in an Aug.…
There were a total of 50,555 malpractice and disciplinary action reports in 2024, with 39,167 adverse action reports and remaining 11,388 medical malpractice payment reports according to an analysis from Claggett, Sykes & Garza Trial Lawyers. Here’s a breakdown of…
While malpractice filings have declined nearly 20% in 10 years, the severity of claims is rising, according to a new analysis from Claggett, Sykes & Garza Trial Lawyers. In 2024 alone, payouts reached $4.93 billion, averaging $433,000 per case. Here…
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Prospect Medical, parent company of Upland, Pa.-based Crozer Health, is suing HHS, CMS and others alleging they violated an automatic stay order after the company’s bankruptcy was filed in January, Philadelphia Business Journal reported Aug. 13. What happened?
A Saginaw, Mich.-based physician has been charged with 23 counts of Medicare fraud, the state’s Attorney General said in an Aug. 15 news release. What happened?
An Alabama physician has pleaded guilty to his role in a $6 million telemedicine fraud scheme involving durable medical equipment and genetic testing, the Justice Department announced Aug. 18. What happened?
Two Michigan physicians and two others have been charged in a scheme to illegally distribute opioids worth more than $7 million, the Justice Department said in an Aug. 14 news release. What happened?
Ambulatory Surgery Centers (ASCs) operate in an environment defined by high surgical volumes, shrinking margins, and increasingly complex payer demands. In this landscape, fragmented revenue cycle workflows don’t just create inefficiencies—they open the door to avoidable denials, cash flow delays,…