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23 Jan 2013, 12:20 pm
[As an aside, I was quite surprised to learn that KAA was even in a network: that's highly unusual]On the plus side, I must commend Anthem for recognizing this:"[S]ince our members do not have a choice of anesthesiologists for surgeries performed at Kettering Medical Center, Anthem will apply the equivalent of any member liability amounts such as co-payments, deductibles, etc., at the member’s in-network level (rather than the out-of-network benefit level equivalent). [read post]
19 Jul 2009, 11:04 pm
Wound Care Consultants Inc., et al. was jurisdiction:SYKES, Circuit Judge. [read post]
13 Jan 2010, 3:09 pm
The charges include alleged fraudulent billing for services not provided. [read post]
6 Sep 2011, 1:48 am
VPA, Inc., affirmed a Michigan district court’s dismissal of a qui tam suit brought by a radiologist and his wife against the radiology service that contracted with them to read x-rays. [read post]
9 Feb 2011, 2:21 pm
Medical Bill Review Who audits medical bills for your open claims? [read post]
15 Apr 2020, 6:20 pm
According to DOJ’s press release: Logan Laboratories Inc. [read post]
15 Apr 2020, 6:20 pm
According to DOJ’s press release: Logan Laboratories Inc. [read post]
23 Nov 2022, 6:14 am
Myriad Genetics, Inc., 133 S.Ct. 2107 (2013) and Mayo Collaborative Services v. [read post]
8 Aug 2012, 7:21 am
Texas House Bill 300 Medical Records Privacy Act Amendments & HIPAA Regulations Require HIPAA Privacy Training! [read post]
11 Jul 2013, 11:41 am
In fact, it is charged, the services were either medically unnecessary or weren't provided at all. [read post]
14 Nov 2011, 5:00 am
See Wal-Mart Stores, Inc. v. [read post]
11 Feb 2016, 11:39 am
RehabCare, a subsidiary of Kindred Healthcare Inc., Kentucky-based company, and operators of four facilities, allegedly submitted claims for Medicare service bills that were either not reasonable, not necessary or that simply never occurred. [read post]
25 Oct 2010, 9:02 am
ATC allegedly billed Medicare for services purportedly provided to these recruited patients. [read post]
23 Apr 2014, 6:20 am
Amedisys allegedly billed Medicare for nursing and therapy services that were medically unnecessary or provided to patients who were not homebound, and otherwise misrepresented patients’ conditions to increase its Medicare payments. [read post]
24 May 2019, 10:46 pm
The $100,000 payment Medical Informatics Engineering, Inc. [read post]
27 Mar 2018, 5:02 pm
New York.February 23, 2018.Natalie Jean-Baptiste, Plaintiff, pro se.NCO Financial Services Inc & Access Group Inc., Defendants, represented by Michael G. [read post]
26 Jan 2011, 3:23 pm
According to their settlement agreements, the hospitals submitted inpatient DRG claims to Medicare for certain kyphoplasty procedures which were billable only as outpatient or observation status procedures due to the absence of medical necessity for an inpatient level of service. [read post]
26 Aug 2022, 2:05 pm
Feb. 23, 2022) and Lifenet, Inc. v. [read post]
25 Mar 2012, 10:51 pm
According to DOJ’s press release: LifeWatch Services Inc., a Rosemont, Ill. [read post]
5 Nov 2013, 10:53 pm
According to DOJ’s press release: Hospice of the Comforter Inc. [read post]
