tci Medicare Compliance & Reimbursement - 2009 Issue 7

INDUSTRY NOTES : Nevada Radiology Group Gets $2 Million Fine

Plus: One RAC reveals information about how it will evaluate claims during its review process. Think it's okay to provide diagnostic tests without physician orders? One Las Vegas radiology practice is paying dearly for making that mistake, among others. The physician-owned practice will pay $2 million to resolve allegations that it submitted false claims to Medicare, the OIG announced in a March 25 press release. The settlement -- one of the largest ever negotiated under the OIG's Civil Monetary Penalties authority -- will resolve the following allegations against the practice: • Improperly providing diagnostic tests to Medicare beneficiaries without...

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