Part B Insider (Multispecialty) Coding Alert
Kentucky Physician Pays Over $300,000 to Settle Double-Billing Allegations
Plus: It's up to you to find out if your employees are excluded from Medicare. A Kentucky doctor may have shared vials of infusion drugs between patients, but he didn't share the savings with Medicare, the Department of Justice alleges. The physician, who owned a Bone and Joint practice, agreed to pay $349,860 to settle overbilling allegations this week after a former employee alleged that he split vials of rheumatoid arthritis drug Infliximab across multiple patients, but billed Medicare as if he used a whole vial for each patient. The physician must also pay attorney fees and expenses of the former employee who blew the whistle on his wrongdoing. The whistleblower will also get a $70,000 payment as her "relator's share" of the settlement. To read more about this case, visit www.justice.gov/opa/pr/2011/September/11-civ-1260.html.
Part B Insider (Multispecialty) Coding Alert
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