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Tag Archives: Based

CMS Issues Guidance to States and Manufacturers Regarding Value Based Purchasing (VBP) Arrangements

The Centers for Medicare & Medicaid Services (CMS) released guidance to states and manufacturers regarding participation in value based purchasing (VBP) arrangements.  The guidance also encourages states to participate in such arrangements as a means to address, as well as offset, higher cost drug treatments. 

This guidance has been released through State Release #176 and Manufacturer Release #99, which are available for download by clicking here.

If you have any questions regarding the states and/or drug manufacturer releases, email MDROperations@cms.hhs.gov.

The Medical Management Institute – MMI – Medical Coding News & MMI Updates

Louisville Based MD2U and Its Principal Owners Admit To Violating The Federal False Claims Act And Being Liable For Millions

LOUISVILLE, KY – MD2U Holding Company, including its related companies and individually named owners (“Defendants”), have agreed to pay millions to resolve a government lawsuit alleging that they violated the federal False Claims Act by knowingly submitting false medical claims to Medicare and other government health care programs, altering records to support false claims, and providing services that were medically unnecessary U.S. Attorney John E. Kuhn, Jr. today announced….

MD2U also utilized an electronic medical records (EMR) system that permitted the NPPs to easily electronically cut, copy and paste medical notes from prior visits. The ability to migrate notes from visits that occurred weeks, months, or even years prior to the current patient encounter created the illusion that MD2U’s NPPs were performing a significant amount of work during their patient encounters when, in fact, they were not. If the documentation was deficient to bill the highest level code, MD2U would direct NPPs to go back and change the medical record – after the encounter had occurred – to falsely show that more work was performed during the visit in order to support the highest level billing.

The post Louisville Based MD2U and Its Principal Owners Admit To Violating The Federal False Claims Act And Being Liable For Millions appeared first on The Coding Network.

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