Compliance & Legal
Defendants sometimes billed 15 to 30 identical ultrasound guidance claims for a single patient visit, the Department of Justice said.
These five doctors referred various patient tests to Parsippany, New Jersey lab, generating more than $3.9 million in business, the DOJ said.
Settlement resolves several lawsuits stating company billed government payers, including Medicare and TRICARE, fraudulently, DOJ says.
Systems need to accept the new number by April 2018, but may file claims using a patient's Social Security number during the transition.
The healthcare administrative services and IT provider took over a year to notify 220,000 individuals of a breach to its website. HHS is determining if it's a HIPAA-covered business associate.
Failure to conduct minimal documentation reviews left the incentive program open to abuse of federal funds, agency says.
FHG and its hospitalists intentionally upcoded evaluation and management codes to the highest code levels in billing Medicare, DOJ says.
UTC fraudulently billed FECA program for services never rendered, overcharged for exams, lied about therapy time, DOJ said.
Roughly 300 health care systems, children's hospitals and federally qualified health centers have set up these programs.
ERISA laws do not apply to church-established health systems, even if the plans were established and maintained by the hospitals, Justices say.