Healthcare providers work in one of the most regulated industries in the country. Medicare and Medicaid handle enormous amounts of public funds, which is why federal agencies watch billing activity closely. That level of oversight is necessary, but it can also put...
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Medicare Fraud
4 actions that can lead to Medicare fraud
Medicare fraud is a serious offense that can have severe consequences for those involved. Even well-meaning medical professionals may find themselves unintentionally breaking the law. 1. Unbundling services One common pitfall is the unintentional practice of...
Simple Medicare/Medicaid errors have serious consequences
One of the most significant challenges for healthcare providers is adhering to a complex set of regulations at local, state, and federal levels. Complying presents challenges for those with a laundry list of responsibilities, including care delivery, payer compliance,...
Exploiting a health crisis for profit?
One of the changes during the worldwide pandemic was the Centers for Medicare & Medicaid Services (CMS) relaxing provider enrollment requirements. The shift occurred due to the coronavirus pandemic that created the need to provide much-needed continuity for...
Georgia company will pay $325,000 on Medicare fraud allegations
A years-long federal investigation concluded last month with an Atlanta-area-based medical company agreeing to pay a $325,000 settlement for Medicare fraud-related allegations. The U.S. Attorney’s Office announced on Nov. 1 that the settlement involves Infectious...

