tci Medicare Compliance & Reimbursement - 2004 Issue 40

ENFORCEMENT WATCH: Take Pains To Avoid These Delivery Billing Mistakes

Why one physician had to hand over half a million to Medicaid.Physician practices that bill services provided by both nurse midwives and physicians must be sure to separate those claims correctly.Example: A Florida doctor who took credit for deliveries he did not attend got slapped with a costly lawsuit, state Attorney General Charlie Crist said Oct. 12.  Dr. Thomas Armbruster has agreed to pay more than $550,000 - triple Medicaid's actual damages - for alleged billing errors.The doc's practice, West Pasco Obstetrics and Gynecology Center, apparently billed Medicaid using Armbruster's physician provider number for...

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