Remove keyword
article thumbnail

Understanding Modifiers for Mental Health Billing

Medisys Compliance

This article aims to provide a comprehensive guide to modifiers for mental health billing, exploring their definitions, purposes, and relevant keywords. Modifiers play a significant role in accurately documenting and reimbursing mental health services and ensuring proper communication between providers and payers. What are Modifiers?

article thumbnail

Federal Judge Refuses to Dismiss Florida Compounding Pharmacy’s FCA Suit

Pharmacy Law Blog

She accused RS and Gobea of charging Tricare, Medicare and Medicaid excessively high rates for certain compounded drugs. The Relator’s FCA Suit. The relator McKenzie Stepe, a former RS sales representative, originally filed her complaint in December 2013. Compounding Pharmacy Can’t Escape Tricare FCA Suit.” December 4, 2017).

Fraud 52
Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Little Known Facts About State and DOH Investigations That Could Save Your Professional License

Pharmacy Law Blog

This will then result in your exclusion from the Medicare and Medicaid Programs, and you debarment/exclusion from all government contracting or employment. You do not have to report a pending DOH investigation against you to anyone. He is the President and Managing Partner of The Health Law Firm, which has a national practice.

article thumbnail

Little Known Facts About State and DOH Investigations That Could Save Your Professional License

Pharmacy Law Blog

This will then result in your exclusion from the Medicare and Medicaid Programs, and you debarment/exclusion from all government contracting or employment. You do not have to report a pending DOH investigation against you to anyone. He is the President and Managing Partner of The Health Law Firm, which has a national practice.

article thumbnail

Alabama Doctor and 3 Nurse Practitioners Charged With Running Fraudulent Pill Mill

Pharmacy Law Blog

It includes defense in federal or state court and defense in federal or state administrative hearings. To contact The Health Law Firm, please call (407) 331-6620 or (850) 439-1001 and visit our website at www.TheHealthLawFirm.com. He is the President and Managing Partner of The Health Law Firm, which has a national practice.

Nurses 40
article thumbnail

Florida Woman Lands Herself 6.5 Years in Prison, Owes $45 Million for Medicare Fraud Scheme

Pharmacy Law Blog

In the 2016 Supreme Court decision, Chief Justice John Roberts and Justices Stephen Breyer, Ruth Bader Ginsburg and Sonia Sotomayor, voted to overturn the Eleventh Circuit Court of Appeals decision that the government could freeze Luis’ “innocent” assets as well as the ones directly traceable to the Medicaid fraud funds. Let’s see.

Fraud 40