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A billing company's client became a co-conspirator in fraud and now a biller will spend four years in prison.

Doctors in Manchester, Maine, and Mobile, Ala., will have to pay up to resolve allegations related to the improper unbundling of Correct Coding Initiative edits.
Two medical centers in Massachusetts will pay more than $700,000 to settle allegations that they upcoded claims when they failed to follow the rules for new and established patients.

The American Medical Association wants to widen the 60-day window within which physicians can be replaced by locum tenens equivalents. But a locum expert says CMS is unlikely to go for it.

Good news: A CMS source tells Part B News that the recent eClinicalWorks (ECW) settlement won't lead to blanket incentive payment takebacks or worse, as some providers had worried.

 

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