tci Medicare Compliance & Reimbursement - 2010 Issue 2

COMPLIANCE NEWS: Are Internal Auditors Obligated to Report Adverse Findings to Medicare? Genesys Cardiology Qui Tam Lawsuit Raises Questions

The case stirs debate over the ethics of auditors turning complainants. Genesys Health System recently paid close to $670,000 to settle a False Claims Act lawsuit initiated by an internal auditor who blew the whistle on alleged upcoding of cardiology evaluation and management services at the organization.What happened: The government alleged that Genesys, a multi-facility organization in Michigan, over-billed Medicare from 2001 to 2007 for evaluation and management services rendered to cardiology patients, according to a Department of Justice release. The whistleblower in the case received a $133,882 share of the settlement, notes the DOJ.Read...

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.