tci Part B Insider - 2008 Issue 37

Physician Notes: Upcoding Ophthalmologist Faces $460,000 Settlement, Integrity Agreement

Plus: Competitive bidding program for durable medical equipment may still take effect in the future.Upcoding service levels just bit one physician right in the wallet.Kentucky-based ophthalmologist Harry Stephenson, MD, and his wife Catherine Stephenson agreed to pay $461,893 back to the government after being accused of submitting false claims to Medicare between 2001 and 2006.According to a September OIG press release, the Stephensons improperly billed Medicare for a higher service level than the documentation supported and used false dates of service to collect more from Medicare than they were entitled to.In addition to the...

To read the full article, sign in and subscribe to tci Part B Insider.


Keep pace with evolving Medicare regulations with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI’s Part B Insider will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4800 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

This feature is currently unavailable for online purchase. For more information, please call 801-770-4203 or Contact Us.

demo
request yours today
 subscribe
start today
 newsletter
free subscription

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