tci Part B Insider - 2004 Issue 20

HIGH-END BILLING PUTS YOUR MEDICAL RECORDS ON THE LINE

Feds see through alleged cover-up at KY clinic If your billing patterns stick out from the norm, you could end up as the centerpiece in a federal investigation. Case in point: The government filed a false claims complaint April 30 against Logan Pain Management Center, Inc and anesthesiologist/clinic operator Dr. Michael Stevens, according to U.S. Attorney David L. Huber. From 1997 to 2003, Stevens allegedly billed Medicare $1.9 million for only 99 patient treatments, and Medicaid $1.5 million for only 45 patients. The complaint charges that service claims, such as those for neuromuscular junction tests, overstated...

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