Category: Fraud

New Medicare Cards Initiate Phishing Scam

January 23, 2020June 28, 2022Barbara Cobuzzi, MBA, CPC, CPC-H, CPC-P, CPC-I, CENTC, CPCONo Comments

Medicare patients are receiving calls from telephone solicitors who are phishing for private identification information for nefarious purposes. The ruse is facilitated by the issuance of new Medicare cards. Here’s How the Scam Goes Down The callers c… For more, read here: AAPC Blog Related Posts:OIG Uncovers Medicare Overpayments for Chronic Care…Medicare Telehealth Coding as of April 30CMS Goes After Medicare Advantage OverpaymentsPrevent Medicare Claims Denials in 2020

New Patient E/M Denials: Mystery Solved

January 21, 2020June 28, 2022Barbara Cobuzzi, MBA, CPC, CPC-H, CPC-P, CPC-I, CENTC, CPCONo Comments

New patient evaluation and management (E/M) claims are being denied when the patient was previously seen by a specialty physician assistant or specialty nurse practitioner on staff. This is happening when another provider of a different specialty in t… For more, read here: AAPC Blog Related Posts:MDM – New Problem to Examiner or Patient?Prevent Medicare Claims Denials in 2020

Michigan Surgeon Accused of $60M Billing Fraud

July 23, 2019December 4, 2020Barbara Cobuzzi, MBA, CPC, CPC-H, CPC-P, CPC-I, CENTC, CPCONo Comments

Bay City, Michigan surgeon Vasso Godiali, MD, was indicted on July 10, 2019, for allegedly orchestrating a $60 million healthcare fraud scheme. He is also charged with money laundering for financial transactions involving almost $50 million in proceed… For more, read here: AAPC Blog Related Posts:2 Tips for Billing a Physician Assistant as Assistant…Billing 95165 Is Nothing to Sneeze AtIncident-to Billing May Be EliminatedOIG Expects to Recover $5.9B in Healthcare Fraud