Health System paid $14.7 million to settle healthcare fraud allegations
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Health System paid $14.7 million to settle healthcare fraud allegations

Did you know billions of taxpayer dollars are spent funding false Medicare claims each year? Audit vendors and the DOJ use data analysis from claims submission to target medical practices and providers involved in the submission of upcoded medicare claims.  Are you and your staff aware of how to identify and correct billing errors before…

Unnecessary procedures cost Kentucky cardiologist $1M, 5 years in prison
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Unnecessary procedures cost Kentucky cardiologist $1M, 5 years in prison

Unnecessary procedures cost Kentucky cardiologist $1M, 5 years in prison.  Medical procedures and orders must be backed by supporting chart documentation and appropriate ICD-10 coding.  All government and commercial payors use claims data to build and compare provider profiles. A  Compliance program which includes services such as MyMeducator.com staff e-learning programs, external chart audits, and…