March, 2011 - Make Your Revenue Smarter - Page 2

New Jersey Physiatrist Pays $2.25 Million To Resolve Allegations Of Double-Billing Federal Health Care Programs

On , in Industry News, by AQ-IQ LLC

Double-billing Alleged Jersey City, N.J., physiatrist Monica Mehta, M.D., paid $2.25 million in a civil settlement agreement with the New Jersey U.S. Attorney’s Office to resolve allegations that she double-billed federal health care programs, U.S. Attorney Paul J. Fishman announced. The government is represented by Assistant U.S. Attorney Alex Kriegsman of the U.S. Attorney’s Office […]

New Tools for Curbing Waste and Fraud in Medicare and Medicaid

On , in Industry News, by AQ-IQ LLC

Testimony of Daniel R. Levinson, Inspector General on March 9, 2011 before the United States Senate Committee on Homeland Security & Governmental Affairs, Subcommittee on Federal Financial Management, Government Information, Federal Services, and International Security on New Tools for Curbing Waste and Fraud in Medicare and Medicaid. Excerpt from the testimony: OIG Work Highlighting the […]

Georgia Pediatrician Sentenced

Thomaston Pediatrician Pleads Guilty to Medicaid Fraud Kathy Mansfield, a Thomaston pediatrician and owner of Pediatric Associates of Thomaston, Inc., pled guilty yesterday to one count of Medicaid Fraud for intentionally overbilling the Medicaid Program in the amount of approximately $537,428. From 2003 to 2007, Mansfield billed Medicaid for the Synagis, a drug used to prevent […]

New Jersey Physiatrist Pays $2.25 Million To Resolve Allegations Of Double-Billing Federal Health Care Programs

Double-billing Alleged Jersey City, N.J., physiatrist Monica Mehta, M.D., paid $2.25 million in a civil settlement agreement with the New Jersey U.S. Attorney’s Office to resolve allegations that she double-billed federal health care programs, U.S. Attorney Paul J. Fishman announced. The government is represented by Assistant U.S. Attorney Alex Kriegsman of the U.S. Attorney’s Office […]

ACA Consumer Disclosure Notices To Bring Transparency To Health Insurance Marketplace

On , in Industry News, by AQ-IQ LLC

Proposed notices detail information insurance plans would have to give to consumers to justify rate increases over 10 percent Monday, the Centers for Medicare & Medicaid Services (CMS) published proposed consumer disclosure notices, required by the Affordable Care Act, that insurers would be required to complete and report electronically when they propose rate increases over […]

ACA Consumer Disclosure Notices To Bring Transparency To Health Insurance Marketplace

Proposed notices detail information insurance plans would have to give to consumers to justify rate increases over 10 percent Monday, the Centers for Medicare & Medicaid Services (CMS) published proposed consumer disclosure notices, required by the Affordable Care Act, that insurers would be required to complete and report electronically when they propose rate increases over […]

CMS Transmittal 796: Clarification of Payment Window for Outpatient Services Treated as Inpatient Services

On , in Documents, by AQ-IQ LLC

  CMS Manual System Department of Health & Human Services (DHHS) Pub 100-20 One-Time Notification Centers for Medicare & Medicaid Services (CMS) Transmittal 796 Date: October 29, 2010   Change Request 7142     SUBJECT: Clarification of Payment Window for Outpatient Services Treated as Inpatient Services     I. SUMMARY OF CHANGES: This Change Request […]