The U.S. Department of Justice (DOJ) is charging 345 defendants for submitting more than $6 billion in false and fraudulent claims to federal healthcare programs and private insurers.
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News
DOJ charges defendants with $4.5 billion in telehealth fraud case
Source: ACDIS

The U.S. Department of Justice (DOJ) is charging 345 defendants for submitting more than $6 billion in false and fraudulent claims to federal healthcare programs and private insurers, including $4.5 billion in telehealth fraud.
CMS reminds providers to bundle emergency visit services with critical care
Source: Revenue Cycle Advisor
Physician and non-physician practitioners may benefit from reviewing bundling rules for emergency department visit services billed on the same date as critical care, according to the October 2020 Medicare Quarterly Compliance Newsletter.
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HCPro invites you to join your revenue cycle peers for a networking focus group. During the meeting, participants will share revenue cycle challenges and discuss solutions and best practices. Individual who participate in the focus group will receive a free on-demand webinar. Space is limited, so sign up here now.
 

Revenue Cycle Advisor Subscriber Content

HIPAA Q&A: PHI for marketing, HIPAA vs. state law
Source: Revenue Cycle Advisor
Q: Can an independent radiology facility mail postcards with a reminder that it's time for patients to schedule? The postcard would include the patient's name and address, obviously, but then either a check mark by screening mammogram or the words “follow-up exam.”
 

Daily Q&A
Q&A: Qualifying for additional reimbursement for COVID-19 diagnostic tests
Source: Revenue Cycle Advisor
Q: Starting January 1, 2021, CMS will be lowering reimbursement for high throughput novel coronavirus (COVID-19) diagnostic tests from $100 to $75. I understand that if certain requirements are met labs will be eligible to bill for a $25 add on code. How can we meet the requirements for the add on code?

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COVID-19 and End-of-Life Care: New Ethical Dilemmas and Challenges

Case managing end-of-life care has never been more complex. The opioid epidemic, the novel coronavirus (COVID-19) pandemic, and persistent health disparities have forced the industry to take a fresh look at end of life care. During this 90-minute webinar, Ellen Fink-Samnick, MSW, ACSW, LCSW, CCM, CRP, will provide a detailed look at end-of-life care as it pertains to COVID-19.
 

    

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