Fredericksburg Hospitalist Group, located in Richmond, VA, and fourteen of its member shareholders have agreed to pay nearly $ 4.2 million to settle a federal FCA case brought under the “qui tam whistleblower” provisions. Dana J. Boente, U.S. Attorney for the Eastern District of Virgini, said, “Rooting out fraudulent billing by healthcare providers is a priority. This office will continue to pursue such matters vigorously.
Read the full article here: https://www.justice.gov/usao-edva/pr/fredericksburg-hospitalist-group-pays-42-million-settle-civil-fraud-case
The post Richmond Hospitalist Group Settles Federal FCA Case appeared first on The Coding Network.
The Coding Network
With the first year of the Merit-Based Incentive Payment System (MIPS) already well underway, the Centers for Medicare and Medicaid Services (CMS) began sending out MIPS Participation Status Letters in April. The letters were sent to each Eligible Clinician (EC) associated with a group Taxpayer Identification Number (TIN). An EC can also check the Medicare Quality Payment Program (QPP) web site to determine his or her eligibility. The letter and web site contain general information about participation in MIPS, along with email and telephone contact information that should be used if a provider feels his or her status is incorrect.
Radiology Billing and Coding Blog
The small and medium sized medical practice is finding its profit margin shrinking with every new compliance regulation and insurance readjustment. The opportunity to save money on the operations side may help grow a bottom line without having to levy new fees on patients or giving up office services. A group purchasing organization (GPO) leverages the power of numbers to lower prices for members without having to give up on the quality of the product.
Improving Medical Billing for Practices
I m looking for additional information on billing 90853 group therapy charges. Not multiple-family group. Performed in office setting. Do you bill each patient at the group therapy. Documentation in each patients chart of group discussion. Can services be done by an MSW, LCSW and bill under a supervisory Psych and if so is modifier required.
Carla, Billing Manager
Medical Billing and Coding Forum – Behavioral Health