Tag Archives: Billing

Health Care Investors Beware: U.S. Attorney Sues Private Equity Firm For Portfolio Company’s Alleged Billing Fraud

The U.S. Attorney for the Southern District of Florida recently intervened in a whistleblower lawsuit brought under the federal False Claims Act, alleging fraudulent billing by a pharmacy reimbursed by the federal government. (U.S. ex rel. Medrano v. Diabetic Care … Continue reading

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Portfolio billing: A valuable option for solos, small firms

From and article by Correy E. Stephenson, Esq., Associate Editor of Lawyers Weekly: "Solos and small firms looking for ways to attract new customers and stabilize their income should consider an increasingly popular option: portfolio billing. "Portfolio billing is an arrangement where … Continue reading

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Two Northern California Doctors Face Sentencing in April 2018 After Being Convicted by Jury of Health Care Fraud After 8 Week Trial for Billing for Unperformed Services, Unseen Patients and Other False Billing Statements

Years ago, health care fraud cases would only be brought in extreme cases for ghost billing or outrageous conduct. We are seeing cases involving upcoding the office visit, not adding a physician to the group or not dropping the physician … Continue reading

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Scripps Health to Pay $1.5 Million to Settle False Claims Act for Services Rendered by Physical Therapists Who Did Not Have Billing Privileges or Were Not Supervised by Authorized Provider

One issue I see happen with medical groups or providers is when physicians or other health care providers are not properly added to the group before they provide services to patients. Often this occurs when the administrators do not ensure … Continue reading

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Chicago Home to Highest Number of Home Health Agencies Fraudulently Billing Medicaid

Home health agencies have become a valuable resource in helping care for aging spouses, parents, and loved ones. With a surging number of elderly Americans, many of whom choose to live in their own homes as long as possible, the … Continue reading

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