OIG Expects to Recover $5.9B in Healthcare Fraud

The Office of Inspector General (OIG) expects a banner year in recoveries stemming from fraud investigations and audits. According to the OIG semiannual report, released Dec. 2, the U.S. Department of Health and Human services (HHS) stands to recoup a… For more, read here: AAPC Blog Related Posts:Anthem Investigator Charged with FraudMillennials and Their Healthcare AccessMichigan Surgeon Accused of $60M Billing FraudHealthcare Job Growth Greatest in 2018

Continue Reading

Pharmaceutical Compounding Chapter Revisions on Hold

But for how long, nobody knows. allergy, otolaryngology and primary care practices can breathe a sigh of relief, as the new Compounding Pharmacy USP standards set to go into effect Dec. 1, 2019, have been postponed as a result of appeals. The revision… For more, read here: AAPC Blog Related Posts:Get More Involved with Your Local AAPC Chapter

Continue Reading

MD Anderson Pays $4.3 Million HIPAA Fine

In a time when many scoff at the potential of being levied steep penalties for violation of HIPAA rules, a judge just upheld a fine that the Department of Health and Human Services (HHS) issued in 2017 for Texas-based MD Anderson’s use of unencrypted … For more, read here: AAPC Blog Related Posts:Changing the Way Medicare Pays DoctorsAnthem Pays Largest HIPAA FineHMA Pays $260 M for False Billing and Kickbacks

Continue Reading

Anthem Investigator Charged with Fraud

A former fraud investigator for Anthem, Inc. is one of five people indicted on federal healthcare fraud charges. Those indicted participated in a multi-year scheme to commit fraud against at least eight health insurance companies. The fraud investigat… For more, read here: AAPC Blog Related Posts:Anthem Changes Timely-Filing DeadlinesMichigan Surgeon Accused of $60M Billing FraudOIG Expects to Recover $5.9B in Healthcare FraudAnthem Pays Largest HIPAA Fine

Continue Reading

OIG: Many Outpatient PT Claims Fail to Comply

The Office of Inspector General (OIG) did a study of physical therapy claims and documentation for Medicare patients and issued a report this month in March. Their findings are of great concern for the PT and rehabilitation specialty. The OIG reviewed… For more, read here: AAPC Blog Related Posts:Prevent Medicare Claims Denials in 2020

Continue Reading