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Some doctors come to investigators’ attention because a whistleblower cries foul. In other cases, a routine audit expands into a fraud investigation. But the recent sentencing of a Bowling Green, Ky. physician was triggered by a couple of low-revenue tests.
A former neurologist who has billed himself as a "world leading physician" is heading to prison, the Department of Justice (DOJ) announced in a June 8 press release. 
Providers will have a total of 473 code changes beginning Oct. 1, including  279 new codes, 143 revised codes and 51 deactivated codes, according to the final list of changes issued today by the Centers for Disease Control and Prevention.
Jeffrey Eugene Rose Sr., 56, has been ordered to serve 19 years (233 months) in federal prison and pay $14.5 million in restitution to the Department of Labor Office of Worker’s Compensation Program.
Medicare, Medicaid and other federal programs may soon find a new home, as the Trump administration seeks to rename the Department of Health and Human Services, according to a report in Politico.

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