Simi Botic

Simi Botic

Dinsmore & Shohl LLP

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OIG: Medicare Inappropriately Paid for 2010 E/M Services Claims - Physicians should expect higher scrutiny on Medicare claims...

Inspector General Daniel R. Levinson with the Office of the Inspector General (“OIG”) recently issued a startling report explaining that Medicare inappropriately paid $6.7 billion for claims for E/M Services in 2010. These...more

6/20/2014 - Evaluation and Management Services Healthcare Medicare OIG Overpayment Physician Medicare Reimbursements Physicians

OIG Exclusion List: What it Means, What You Should Do

On January 8, 2014, the Office of Inspector General (“OIG”) updated the List of Excluded Individuals and Entities (“LEIE”). According to the LEIE, over 66,000 health care providers are currently excluded from all Federal...more

1/15/2014 - Exclusions Healthcare Healthcare Fraud Healthcare Reform LEIE Medicaid Medicare OIG

Federal Government Aggressively Pursuing Health Care Fraud

Proactive self-audits help providers identify potential problems - The Federal Government is using every tool available to fight health care fraud and recover overpayments from health care providers. According to the...more

7/5/2013 - Audits DOJ Enforcement Enforcement Actions Fraud Fraud and Abuse Health Insurance Healthcare Fraud Healthcare Professionals HHS Medicaid Medicare OIG

CR7631: Changes to Place of Service Coding Effective April 1, 2013

After the OIG identified a high error rate for Place of Service (“POS”) modifiers over several years, the Centers for Medicare and Medicaid (“CMS”) issued a billing and coding revision (CR 7631) to instruct any physician,...more

2/7/2013 - CMS Medicaid Medicare OIG Physician Fee Schedule Place of Service Coding

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