Healthicity Blog

1. Missouri Hospital Settles Case Involving Patient Dumping Allegations - “On October 17, 2017, Southeast Missouri Hospital (SEM), Cape Girardeau, Missouri, entered into a $100,000 settlement agreement with OIG.

1. Huntsville Nursing Home Pays the United States and the State of Texas $5 Million to Settle Claims Alleging Poor Quality of Care –

1. Jacksonville Cardiovascular Practice Agrees To Pay More Than $440,000 To Resolve False Claims Act Allegations For Failing To Reimburse Government Health Care Programs -

1. McDonough woman pleads guilty to Medicaid fraud, ordered to pay $3.8 million – “The owner of a former Henry County mental health services business will have to pay $3.8 million in restitution to the Georgia Medicaid Program for alleged Medicaid fraud.

1. Norwich Podiatrist Pays $35,000 to Settle Allegations under the False Claims Act -

1. Medicare Compliance Review of Parkridge Medical Center, Inc., for 2014 and 2015 - “Medicare Compliance Review of Parkridge Medical Center, Inc., for 2014 and 2015 Parkridge Medical Center, Inc. (the Hospital), located in Chattanooga, Tennessee, complied with Medicare billing requirements for 88...

1. Owner of Two New York Medical Clinics Sentenced to 84 Months for Her Role in $55 Million Health Care Fraud Scheme - “The owner of two Brooklyn, New York, medical clinics was sentenced today to 84 months in prison for her role in a $55 million healthcare fraud scheme.

1. CMS and Its Claims Processing Contractors Issued Conflicting Guidance on the Proper Use of the KX Modifier for Part B Immunosuppressive Drug Claims - “Medicare Part B paid for some immunosuppressive drugs billed with the KX modifier that were not eligible for Part B payment.