tci Medicare Compliance & Reimbursement - 2004 Issue 1

Labs: LAB FRAUD FIGHTERS CAST A WIDE NET

Golden State lab operator snared in $1.3 million fraud. When it comes to health care fraud, the long arm of the law stretches extremely far. Case in point: Leaving the United States for his native Philippines didn't help Ernesto Penaflorida evade federal fraud fighters pursing him for submitting bogus bills for blood tests. According to U.S. Attorney Debra Yang's office, Penaflorida pleaded guilty to health care fraud Nov. 3 after being extradited from the Philippines. Penaflorida admitted that he and others associated with his company, Medstat Clinical Laboratory, billed Medicare and Medi-Cal for tests that Medstat not...

To read the full article, sign in and subscribe to tci Medicare Compliance & Reimbursement.


Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4200 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci Medicare Compliance & Reimbursement +Archives

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.