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Some early adopters of chronic care management (CCM) received overpayments because inadequate oversight allowed overlapping care management services.

Medicare doesn't pay for "P-stim," but this Willow Street, Pa., provider gave it shot, and is now paying the feds $178,000 to get out from under a False Claims Act rap.
 

Benjamin David Danneman, 37, of Eureka, Mo., was employed by at least three local health care organizations that should be conferring with lawyers now. On June 12, Danneman was sentenced to 57 months in prison for working for them as a nurse and, in one case, as an assistant director of nursing without a nursing license.

A practice that follows the rules for incident-to billing can expect 100% of reimbursement for a non-physician practitioner’s (NPP) services reported under a physician’s provider number, rather than 85% billed under the NPP’s ID. A practice that breaks the rules for incident-to billing can expect trouble.
In case you were thinking federal investigators would never be interested in your therapy claims, here are three practices from today's HHS OIG website that would likely disagree.

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