Part B Insider (Multispecialty) Coding Alert
In other news
A New York-based physical therapist faces up to 50 years in prison after pleading guilty to an indictment charging him with five counts of healthcare fraud, the Department of Justice announced in a May 13 news release. The DOJ indicates that over a five-year period, the physical therapist "caused the submission of approximately $11.9 million in false and fraudulent claims to Medicare for physical therapy services that were not performed and were not medically necessary." In addition, the PT hired non-certified therapy assistants to provide services to Medicare beneficiaries. The case was brought as part of the Medicare Fraud Strike Force, the DOJ noted. To read the full news release, visit www.justice.gov/opa/pr/2011/May/11-crm-617.html
Part B Insider (Multispecialty) Coding Alert
- Medicare Funding:
Medicare Risks Going Broke in 2024, Trustees' Report Says.
CMS says it is making changes to ensure the program stays funded longer than projected.The [...] - ICD-10 Preparation:
Not Planning to Transition to ICD-10 as of Oct. 1, 2013? You Might Be Liable to Face Millions in Fines, CMS Reps Say
Plus: CMS officials are considering how to handle dates of service that span the pre- [...] - Compliance:
Is Your Doctor 'Absent-Minded?' That Excuse Won't Fly With OIG
Plus: Auditors have been known to tap into hospitals' wireless hotspots from the parking lot [...] - Part B Coding Coach:
10120 or Beyond: Site, Depth, Complexity Drive Code Choice
Follow 3 pointers to snag maximum pay.From just under the skin to deep within the [...] - ICD-10 Will Alter Your Foreign Body Removal Claims
Fortunately, most codes will have a one-to-one crosswalk when 2013 rolls around.When your physician removes [...] - Physician Notes:
Get Ready for 5010 Compliance by Trying Out Your Claims on June 15 Test Day
Plus: Physical therapist pleads guilty to submitting false claims--to the tune of nearly $12 million.You've [...] - In other news
A New York-based physical therapist faces up to 50 years in prison after pleading guilty [...] - Reader Question:
Specialists' Non-Physician Practitioners Can Collect Primary Care Incentive Bonuses
Question: Our cardiology practice employs a non-physician practitioner (NPP) who performs a lot of E/M [...]
