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Medicare Compliance & Reimbursement

Industry Note:

Physician's Claims Were a Dead Giveaway That He Was Up to No Good

Published on Wed Mar 22, 2017

Alleging a higher-level service than you actually perform results in a false claim — and for a Spokane-area cardiologist that translates to a $300,000 settlement due back to the Feds. In a case that explains the OIG’s need for Comparative Billing Reports (CBRs), Washington cardiologist, Dr. Romeo Pavlic, conducted “cardiac clinics” at Lakeland Village in Medical Lake, a facility devoted [...]
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