News Updates

DOJ recovers $1.8B in healthcare fraud settlements, judgments in 2020

January 18, 2021 / Posted by NPCC

The Department of Justice (DOJ) received $1.8 billion in recoveries involving healthcare fraud and false claims in fiscal 2020, officials announced. 

The recoveries involved all sectors of the industry including drug and medical device manufacturers, managed care providers, hospitals, pharmacies, hospice organizations, laboratories and physicians. The settlements are part of $2.2 billion the government recovered from False Claims Act cases across all industries in the fiscal year ending Sept. 30, 2020.

DOJ Criminal Health Care Enforcement: It’s Not Just for Federal Programs Anymore

July 16, 2020 / Posted by NPCC

On July 10, 2020, in United States v. Ruan, the Eleventh Circuit affirmed the convictions of two Alabama doctors for running an opiate “pill mill.” Among many other things, the government charged that the doctors used “incident to” billing to charge Blue Cross Blue Shield of Alabama under the doctor’s identification for visits conducted entirely by nurse practitioners, which that insurer (unlike some others) prohibited under its policy.

Piedmont Healthcare to pay $16 million to resolve federal allegations

June 29, 2020 / Posted by NPCC

Piedmont Healthcare will pay $16 million to settle allegations that it overcharged federal health-care programs, the U.S. Department of Justice said Thursday.

2021 Dental Insurance Revisions, Policies, and Regulations Virtual Conference

June 26, 2020 / Posted by NPCC

NPCC is offering our 2021 Dental Insurance Revisions, Policies, and Regulations conference VIRTUALLY! Begin (or expand) medical billing in your office AND learn the new information for your 2021 dental claims. Let NPCC teach you how the changes will affect your billing and streamline your medical billing during our Live, interactive virtual conferences!!

YOU WILL LEARN 

2021 Medicare & Insurance Revisions, Policies, and Regulations Virtual Conference

June 26, 2020 / Posted by NPCC

NPCC is offering our 2021 Medicare &  Insurance Revisions, Policies, and Regulations conference VIRTUALLY! You will learn the newest information for your 2021 billing including ICD-10 changes effective October 1st! Our live, interactive webinars teach you the most important changes for 2021....what actually affects your office!?

Medicare FFS Claims: 2% Payment Adjustment Suspended (Sequestration)

April 13, 2020 / Posted by NPCC

Section 3709 of the Coronavirus Aid, Relief, and Economic Security (CARES) Act temporarily suspends the 2% payment adjustment currently applied to all Medicare Fee-For-Service (FFS) claims due to sequestration. The suspension is effective for claims with dates of service from May 1 through December 31, 2020.

Upcoming Medical Webinar Schedule

March 16, 2020 / Posted by NPCC

ALL WEBINARS ARE 11:00 AM – 12:00 PM PST.

Our "Insurance Strategies and Compliance" webinar series is designed for all providers that that bill commercial and government insurance carriers. We teach you how to effectively and efficiently deal with insurance companies to ensure maximum payment. You will learn how to fix the most common issues providers deal with daily. Learn how to save time and money and to STOP losing money that is rightfully owed to you!!

Tenet Healthcare and Affiliated California Hospital to Pay $1.41 Million to Settle False Claims Act Allegations for Implanting Unnecessary Cardiac Monitors

February 17, 2020 / Posted by NPCC

Tenet Healthcare Corporation and its affiliated hospital Desert Regional Medical Center (DRMC), a general medical and surgical hospital located in Palm Springs, California, have agreed to pay $1.41 million to resolve allegations that they violated the False Claims Act by knowingly charging Medicare for implanting unnecessary cardiac monitors, the Justice Department announced Tuesday.

Updated Dental Webinar Schedule

January 15, 2020 / Posted by NPCC

NPCC WEBINAR SCHEDULE

ALL WEBINARS ARE 11:00 AM – 12:00 PM PST. 

DENTAL BILLING MEDICAL

San Diego Eye Doctors Pay $950,000 to Settle Medicare Billing Fraud Allegations

January 6, 2020 / Posted by NPCC

SAN DIEGO – Mark D. Smith and Fane Robinson, two San Diego-area physicians, have paid the United States $948,768.18 to resolve allegations that they violated the federal False Claims Act by knowingly submitting false claims to Medicare.

Dr. Smith and Dr. Robinson are medical doctors specializing in ophthalmology.  They maintain a medical practice in San Diego known as San Diego Retina Associates and are participating providers in federally-funded health care programs including Medicare.