Posts by Tony Stonem

Even the big dogs are getting caught up in fraud.

Coming to us via NBC26 we see reports of Walgreens settling a huge case of fraud in the state of Wisconsin. Even the large corporations can have what we hope are oversights in their plans so your compliance is essential to keeping your practice safe. The U.S. Attorney in the Eastern District of Wisconsin says…

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What the claim investigation market is doing

A quick way to see what we are going to deal with as providers down the road is to look into what the healthcare fraud industry’s latest advances. Insight partners has released a report on the future of the fraud detection industry in their report, “Healthcare Fraud Detection Market Size and Key Trends in terms…

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The most basic case of fraud.

Healthcare fraud happens all the time but the most classic case of fraud is charging for something and not performing the service. Let’s look at the at the recent arraignment of Primera healthcare executives in Atlanta Georgia. Tim Darnell from the ATL based paper patch writes in his article, “Primera Medical Group Execs Charged With…

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Serious Fraudulent billing in Texas. Don’t do this.

As a physician you have taken an oath to serve your patients to the best of your ability. In the environment of healthcare it is very easy to commit fraud, whether it be intentional or unintentional, it happens. One way to make sure that you land on the radar for an audit is to just…

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Healthcare rumblings with Stark law and how it can impact you.

Let’s delve into Stark law and how it impacts the delivery of healthcare. Stark Law is a set of United States federal laws that prohibit physician self-referral, specifically a referral by a physician of a Medicare or Medicaid patient to an entity providing designated health services (“DHS”) if the physician (or an immediate family member) has a financial relationship with that entity. This weeks article…

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Feds claim chiropractor brothers bilked patients out of $80M

$80 Million dollars out of one chiropractic practice. If that does not raise red flags. We are not sure what does. It certainly taints the chiropractic profession but can be found in other healthcare professions. This article comes to us via the New York Post by Kaja Whitehouse, “Feds claim chiropractor brothers bilked patients out…

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Keep an eye on your billing companies.

Keep an eye on your billing companies. If you use a billing company you will want to read this story coming out of Miami Florida. The Miami Herald originally ran this article, Their company did medical billing. Now, four of them are headed for federal prison by David J. Neal. This is a pretty sobering situation for…

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Wife of doctor accused of health care fraud arrested

At Patient Options we want you to be aware of everything that happens in your office. Even if it your practice a close knot family affair you need to always analyze what is happening so that you do not commit healthcare fraud of any kind. Patient Options will give you protection against six accusations… Time…

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