Medical Coding Fraud Cases

DOJ charges 14 people in alleged Covid …

https://www.cnbc.com/2021/05/26/doj-charges-14-people-in-alleged-health-care-fraud-related-to-covid-19.html

Federal prosecutors have charged 14 people — including a medical doctor and owners of laboratories, pharmacies and a home health agency — in multiple …

Healthcare billing fraud: 9 recent cases - Becker's Hospital Review

https://www.beckershospitalreview.com/legal-regulatory-issues/healthcare-billing-fraud-9-recent-cases.html

From Cincinnati-based Bon Secours Mercy Health agreeing to pay $1 million to settle allegations that it improperly billed Medicare, to a Florida physician being …

What Should Health Care Organizations Do to …

https://journalofethics.ama-assn.org/article/what-should-health-care-organizations-do-reduce-billing-fraud-and-abuse/2020-03

In 2016, the Centers for Medicare and Medicaid Services (CMS) spent $1.1 trillion on health coverage for 145 million …

8 medical coding mistakes that could cost you

https://www.ama-assn.org/practice-management/cpt/8-medical-coding-mistakes-could-cost-you

Government and private insurers’ audits have revealed unfortunate cases of fraudulent or abusive medical billing practices. You deserve to be paid for the medical …

Top Healthcare Fraud Takedowns of 2020

https://revcycleintelligence.com/news/top-healthcare-fraud-takedowns-of-2020

Medical Biller Sentenced to 45 Months in Prison for Role …

https://www.justice.gov/opa/pr/medical-biller-sentenced-45-months-prison-role-4-million-health-care-fraud-scheme

Friday, September 18, 2015 Medical Biller Sentenced to 45 Months in Prison for Role in $4 Million Health Care Fraud Scheme The medical biller of a Chicago-area …

Sutter Health settles Medicare Advantage …

https://medcitynews.com/2019/04/sutter-health-settles-medicare-advantage-upcoding-case-for-30-million/

Payers Sutter Health settles Medicare Advantage upcoding case for $30 million Sutter Health was allegedly involved in a practice called upcoding, which …

NY Health System Settles E&M Upcoding, Healthcare …

https://revcycleintelligence.com/news/ny-health-system-settles-em-upcoding-healthcare-fraud-case

US District Court Judge Tonya Walton Pratt sentenced James Burkhart for his involvement with three federal felony offenses: conspiracy to commit fraud, conspiracy to …

Medical Coding Fraud | CCO Medical Coding

https://www.cco.us/medical-coding-fraud/

Medical Coding Fraud | CCO Medical Coding Medical Coding Fraud April 21, 2012 by Laureen Jandroep Medical coding fraud and other types of health …

Medical Coding Fraud Cases

https://www.family-medical.net/medical-coding-fraud-cases/

DOJ: Healthcare at Center of Biggest US Fraud Cases in 2021 5 hours ago WebFeb 2, 2022 · Of the $5.6 billion obtained by the Department of Justice in civil settlements and …