As healthcare provider groups fought back against the Department of Health and Human Services warning about upcoding, they contested that more coding does is not the same as coding fraud, according to ...

Here are eight takeaways from the article: 1. The 2024 National Health Care Fraud Enforcement Action resulted in criminal charges against 193 defendants, including 76 medical professionals, for ...

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A western New York health insurance provider for seniors and the CEO of its medical analytics arm have agreed to pay a total of up to $100 million to settle Justice Department allegations of ...