HC Compliance Essentials

Internal Auditor Turns Whistleblower at Cardiology Practice

Upcoding E/M services at heart of the case An internal auditor turned whistleblower when she felt a Michigan cardiology practice was ignoring her concerns about evaluation & management upcoding. A $669,413 settlement with the Department of Justice is the end result.…

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Senior Medicare Patrol Recovered $4.5 Million by Watching for Fraud and Abuse

Here’s the stuff they’re looking to report to the OIG. The government recruits different types of people to check for Medicare fraud, but not all of those recruits are attorneys or federal employees. In fact, some of them might be…

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