JAK Medical Solutions

05/31/2019

Wichita cardiologist Joseph Galichia has agreed to pay $5.8 million to settle claims that he and his medical group, Galichia Medical Group, P.A. improperly billed federal health care programs for medically unnecessary cardiac stent procedures.

10/18/2018

And another doctor and nurse caught for billing fraud

Two Dallas doctors and three nurses were sentenced yesterday in an $11.3 million Medicare fraud scheme involving false and fraudulent claims for home health services. These schemes included billing for medically unnecessary home health services that were often not provided, falsified nursing assessments and nursing notes, to make it appear as if Medicare beneficiaries were qualified for, and were provided, skilled nursing services. https://go.usa.gov/xPRaC

09/06/2018

Healthcare fraud is a serious crime. Choose a billing company wisely!

MIDDLETOWN – The U.S. Attorney for the Southern District of New York unsealed a broad federal indictment Thursday against a large Middletown multi-

09/04/2018

I believe that billers/coders are the ones to report back to doctors and office staff if you are seeing incorrect billing. It is your job to educate your clients!

by Barry Libman, MS, RHIA, CDIP, CCS, President, Libman Education and Barry Libman Inc. Summer is behind us and we are busy preparing for FY 2019. There are new codes and guidelines to learn and implications to be understood and explored. Building and maintaining a classification is a considerable c...

08/10/2018

This article shows how doctors and billers can create fraudulent claims but it eventually catches up to you.

The owner of Billing USA, a medical billing office in Miami, Fla., was sentenced to eight years in prison after pleading guilty for his role in a fraud scheme, according to the Miami Herald.

06/01/2018

Fun code of the week

Welcome to Code of the Week! We'll highlight different codes week after week, so to kick things off, we're starting with T63.441A - toxic effect of venom of bees. It's bee season, so make sure you stay safe and sting free! What code should we do next?

05/22/2018

Great information!

prevent claim edit denials and keep the revenue stream flowing

05/21/2018

Happy Monday!

Radiculopathy can be an unpleasant condition, but diagnosing, documenting, and coding for it does not have to be. http://ow.ly/MOQl30jq44c

05/18/2018

50% of denied claims are not appealed! I have seen this when I analyze a practice’s AR for the first time. Payors will deny a claim just to deny it and it is up to a GREAT biller to identify and correct!

Managing denials is more difficult in 2018 than it was in 2005, 2000, or 1998 but a three step process can help you succeed.

05/17/2018

Knee orthoses are one of the highest sources of errors, and a letter from a MAC begs providers to be more careful with documentation and reporting.

05/17/2018

Local doctor is conducting research to bring to Tallahassee. Can this bring more research to Tampa?

Even though the law passed allowing such treatment was overwhelmingly supported by Florida voters, loopholes and red tape have kept patients from receiving treatment.