Medicare Compliance & Reimbursement

Industry Notes:

OIG Continues to Hand Out Steep Penalties for Upcoding and False Claims

Upcoding is a focus area for the HHS Office of Inspector General (OIG), and often is the first offense that leads investigators to uncovering more serious crimes. A recent Department of Justice (DOJ) case found Murfreesboro, Tennessee Podiatrist John J. Cauthon guilty of Medicare fraud after running a false-claims scheme between May 2014 and August 2015. Among his offenses were [...]
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