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When we coders and auditors talk about the selection of the principal diagnosis, we know that the first diagnosis reported on a claim is the most important
1. Kentucky Lab Agrees to Pay $2.1 Million for False Urine Drug Testing Claims -
The OIG’s most recent audit of an Arkansas Skilled Nursing Facility (SNF) resulted from claim data-mining it had previously conducted.
1. Texas Doctor Pays $2 Million to Resolve False Claims Allegations -
The OIG recently released some data as it relates to trends in nursing home complaints.
When the Affordable Care Act was passed in 2010 it included section 6102 requiring nursing facilities to have an effective compliance program.
1. Carolina Physical Therapy and Sports Medicine, Inc. To Pay $790,000 to Resolve False Billing Allegations –
OIG’s most recent published report determined that an estimated one in five high-risk hospital ER Medicare claims