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Exceptional Coders | Innovative Technology

$2 Million Settlement Highlights Coding and Billing Fraud Problems

Posted by David Fong on May 29, 2019 11:05:18 AM

The United States Attorney’s Office District of Massachusetts recently announced that CareWell Urgent Care Centers has agreed to pay $2 million to resolve allegations they violated the False Claims Act by submitting claims to Medicare, MassHealth, GIC, and Rhode Island Medicaid that falsely inflated the level of E/M services performed and by failing to properly identify the providers of E/M services.

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Topics: Medical Coding, CPT code

AMA Releases 2019 CPT Code Set

Posted by David Fong on Oct 12, 2018 3:44:47 PM

 The American Medical Association (AMA) announced in early September the release of the 2019  Current Procedural Terminology (CPT®) code set. There are 335 code changes in the new CPT edition reflecting the CPT Editorial Panel and the health care community’s combined annual effort to capture and describe the latest scientific and technological advances in medical, surgical and diagnostic services.

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Topics: Medical Coding, AMA, CPT code