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According the Department of Justice (DOJ), Jacksonville, Fla.-based First Coast Cardiovascular Institute (FCCI) has stumbled on a secret for nearly tripling the amount of money it owes to federal health care programs.
Don't believe the myth that enforcers only keep the big fish in health care fraud schemes — hospitals, diagnostic providers, pharmaceutical companies and so on — and let the small fry such as doctors and medical practices go.

This $2 million settlement announcement illustrates the importance of keeping up with — and following — coding and billing guidance from AMA and your Medicare contractor.

A longtime pharmacy executive shares his thoughts about the responsibilities and options of providers toiling in the current opioid crisis.
CMS is taking the training wheels off the targeted probe and educate (TPE) progam pilot that it rolled out in May and expanded in June. Effective Oct. 1, your Medicare administrative contractor (MAC) will begin to phase out most forms of medical review and replace them with TPE.

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