tci Part B Insider - 2013 Issue 12

Physician Note: Missouri Doctor Faces Sentence for Chronic Upcoding

Plus: Submit your suggestions on SNF therapy payments. A Missouri physician and her husband are facing penalties after pleading guilty to upcoding and falsifying claims at their medical clinic. The physician worked as the medical director and her husband was the CEO of a clinic that specialized in diagnosing and treating chronic diseases such as fibromyalgia and Lyme disease, the Department of Justice reported in a March 22 news release. The couple pleaded guilty to billing for physician visits when the physician was actually out of town, billing for visits when she was not involved with the patient, and...

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