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The Coding Network Medical Coding, Surgical Coding, Procedural and Diagnostic Coding

  • CMS Selects Primary Care Payment Model Participants
    by George Grant on November 24, 2020 at 9:41 pm

    CMS selects primary care payment model participants According to Becker’s Hospital Review, “CMS chose 916 primary care practices and 37 regional health plan partners as participants in its new payment model called Primary Care First. PCF was designed to decrease the amount of avoidable hospital visits and total cost of care through performance-based adjustments. The […] The post CMS Selects Primary Care Payment Model Participants appeared first on The Coding Network.

  • OIG Tags Arizona Hospital for Erroneous Billing
    by George Grant on November 12, 2020 at 9:58 pm

    OIG Tags Arizona Hospital for Erroneous Billing Flagstaff (Ariz.) Medical Center failed to comply with Medicare billing requirements for three of 100 inpatient and outpatient claims reviewed by HHS’ Office of Inspector General, according to an OIG report. The three claims that did not comply with Medicare billing requirements resulted in Flagstaff Medical Center receiving […] The post OIG Tags Arizona Hospital for Erroneous Billing appeared first on The Coding Network.

  • Neurosurgeon Medical Practice Director to Pay Over $1 Million
    by George Grant on November 12, 2020 at 9:54 pm

    Neurosurgeon Medical Practice Director to Pay Over $1 Million Neurosurgeon Medical Practice Director to Pay Over $1 Million to Resolve False Claims Act Liability Arising from Billing of P-Stim Devices. PHILADELPHIA – First Assistant United States Attorney Jennifer Arbittier Williams announced that neurosurgeon Sagi M. Kuznits, practice director Pnina Kuznits, and Neurosurgical Care LLC (collectively, […] The post Neurosurgeon Medical Practice Director to Pay Over $1 Million appeared first on The Coding Network.

  • New Mexico Physician and Practice Settle Case Involving False Claims
    by George Grant on November 12, 2020 at 9:54 pm

    New Mexico Physician and Practice Settle Case Involving False Claims The settlement agreement resolves allegations that Dr. Reddy submitted claims for Healthcare Common Procedure Coding System (HCPCS) code 93965, when those claims were for a procedure that was already included as a component of the duplex ultrasound procedures for which Dr. Reddy submitted claims using […] The post New Mexico Physician and Practice Settle Case Involving False Claims appeared first on The Coding Network.

  • Texas Physician and Practice Settle Case Involving False Claims
    by George Grant on November 12, 2020 at 9:53 pm

    Texas Physician and Practice Settle Case Involving False Claims The settlement agreement resolves allegations that Dr. Robbins submitted claims for Healthcare Common Procedure Coding System (HCPCS) code 93965, when those claims were for a procedure that was already included as a component of the duplex ultrasound procedures for which Dr. Robbins submitted claims using HCPCS […] The post Texas Physician and Practice Settle Case Involving False Claims appeared first on The Coding Network.

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