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OIG Announces $3.44 Billion in Expected Recoveries from Audits, Investigations 
OIG Announces $3.44 Billion in Expected Recoveries from Audits, Investigations 

Sarasota, FL (WorkersCompensation.com) – Earlier this week, the OIG released their Semiannual Report to Congress detailing their audit findings for reporting period April 1 through September this year, which included activity from October 2022 through […]
CMS Announces $31.2 Billion in Improper 2023 Payments
CMS Announces $31.2 Billion in Improper 2023 Payments

Sarasota, FL (WorkersCompensation.com) – Earlier this month, the Centers for Medicare & Medicaid Services (CMS) released their findings of Fee-for-Service claims audits conducted this year.  Last year, CMS estimated that the rate of improper payments […]
CMS Final Rule Reduces Physician Reimbursement Again 
CMS Final Rule Reduces Physician Reimbursement Again 

Sarasota, FL (WorkersCompensation.com) – Despite strong complaints from the American Medical Association (AMA) about a 26 percent decrease in physician reimbursement from 2001 to 2023, it appears those complaints have fallen on deaf ears.  On […]
Medical Staffing and Services Company Settles NPI Case For $475,000
Medical Staffing and Services Company Settles NPI Case For $475,000

Sarasota, FL (WorkersCompensation.com) – A National Provider Identification Number (NPI) is a 10-digit identification number that is issued by CMS Medicare to healthcare providers and is unique to them. NPI numbers are issued as individual […]
Charges Announced in Largest Case Ever Prosecuted Involving $2.5 Billion in Alleged Healthcare Fraud 
Charges Announced in Largest Case Ever Prosecuted Involving $2.5 Billion in Alleged Healthcare Fraud 

Sarasota, FL (WorkersCompensation.com) – Last week, the U.S. Department of Justice announced charges in a historical case that they are calling, “the largest health care fraud schemes ever prosecuted by the Justice Department.” In a […]
OIG Audit Report Finds $888.2 Million in Overpayments for Genetic Testing Code
OIG Audit Report Finds $888.2 Million in Overpayments for Genetic Testing Code

Sarasota, FL (WorkersCompensation.com) – Let’s face it, medical billing is complicated! The regulations and payer rules change on a daily basis, and the volume of information reviewed and regulated is astounding, with incorrect claims easily […]
Study Finds Disparities in Patients Having Knee Replacement in ASCs
Study Finds Disparities in Patients Having Knee Replacement in ASCs

Sarasota, FL (WorkersCompensation.com) – In 2018, the Centers for Medicare & Medicaid Services (CMS) removed Total Knee Arthroplasty (TKA) procedures, also known as total knee replacement, from the Inpatient Only List, allowing the procedures to […]
Recent OIG Audit Finds CMS Did Not Detect Cyber Threats
Recent OIG Audit Finds CMS Did Not Detect Cyber Threats

Sarasota, FL (WorkersCompensation.com) – According to the U.S. Department of Health and Human Services breach portal, there have already been 26 reports of healthcare data breaches reported so far this month. Of those, 18 cases […]