FWA Briefs

by Steve Nesnidal, MD, CPC, AHFI Dr. Steve Nesnidal of Context4 Healthcare, Inc. presented at the 2023 NHCAA Annual Training…

by Steve Nesnidal, MD, CPC, AHFI A common Fraud, Waste and Abuse (FWA) pattern detection involves monitoring for and analyzing…

by Steve Nesnidal, MD, CPC, AHFI A suburban Chicago doctor will spend 6 months in jail and pay a $1…

by John Danza CMS recently released a guidance letter concerning if HIPAA rules would prohibit a health plan from requiring…

A pain management practice will pay $625k from a False Claims Act violation. Similar cases give an importance to Fraud, Waste, and Abuse (FWA) protection, and the use of E/M codes would have detected an abnormality on similar claims. Read more to find out how.

A Maine family practitioner used false claims billed to Medicare and Medicaid for services that were either not provided or not medically necessary, which provides reasons for the need of Fraud, Waste, and Abuse (FWA) protection.

A multi-million dollar dental fraud scheme provides an example to the benefits of having fraud, waste, and abuse (FWA) protection. Click to learn more.

by John Danza The U.S. Department of Justice recently issued a press release about guilty pleas for people involved in…

by Steve Nesnidal, MD, CPC, AHFI Per CPT1, “Psychotherapy is the treatment of mental illness and behavioral disturbances in which…

by Steve Nesnidal, MD, CPC, AHFI On January 1, 2022, CMS’s Place of Service (POS) Workgroup added new POS code…

by Steve Nesnidal, MD, CPC, AHFI Throughout the course of the COVID-19 pandemic, the AMA has released many COVID-19 related…

by Steve Nesnidal, MD, CPC, AHFI Early in the Coronavirus pandemic, telehealth restrictions were significantly relaxed by federal and most major commercial payers.  This enabled more…