Part B Insider (Multispecialty) Coding Alert
In other news
Published on Tue Mar 08, 2011
The physician involved in a Miami-area home care fraud ring has been sentenced to two years in prison and two years home confinement. Plus he must pay CMS $22 million in restitution, together with his co-defendants. Dr. Fred Dweck signed orders, plans of care, and certifications for hundreds of patients who did not actually qualify for home care, according to a Department of Justice release. Dweck might have received an even stiffer sentence, but he's 75 years old and in ill health, notes the Miami Herald. The case was brought as part of the Medicare Fraud Strike Force, the DOJ said.
Other Articles in this issue of
Part B Insider (Multispecialty) Coding Alert
- Part B Payments:
Reprocessed Claims From Last Year Are Headed Your Way Soon, CMS Reps Say
Plus: CMS cagey when asked whether RNs can perform annual wellness visits.The check is in [...] - AWVs:
CMS Offers Quick Annual Wellness Checklist
Your practice might already be on the right track when it comes to documenting and [...] - Accountable Care Organizations:
CMS Outlines How Joining An ACO Will Benefit Practices, Beneficiaries
Under the "shared savings program," ACO participants will collect a portion of the amount CMS [...] - Laboratory Signatures:
CMS Appears Poised to Delay Labs' Physician Signature Requirements Further
Although the agency doesn't specifically rescind the rule, it does indicate that more information will [...] - HCPCS Codes:
CMS Introduces Several New 'Carrier-Priced' HCPCS Codes
You'll be able to report these codes effective July 1.It's not even mid-2011 yet, but [...] - Reader Questions:
Turn to Modifiers 76 or 77 for Repeat Procedure
Note: Modifier 59 won't apply to situations when the physician performs the exact same procedure [...] - Reader Questions:
Does One-Hour E/M Warrant Add-on Prolonged Service Code?
Question: Our physician provided a one hour E/M service, most of which was spent on [...] - Reader Questions:
Follow Drug Dosing Rules to Pick Correct 'J' Code
Question: Depo-Medrol comes in three different strengths, but the code doesn't state how much is [...] - Part B Coding Coach EGD Coding:
Know the 3 Factors That Make Up The Core of These Gastroenterology Procedures
Differentiate "sample collection" from actual biopsy.When your physician ventures into a patient's stomach, say when [...] - Physician Notes:
ICD-9-CM Committee Considers New Diagnoses for Partial Rotator Cuff Tear, Malnutrition, and More
Plus: Physician Gets Jail Time for Home Care FraudOctober 1 might sound far away, but [...] - In other news
The physician involved in a Miami-area home care fraud ring has been sentenced to two [...]
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