A former clinical director for Biscayne Milieu, a Miami-based mental health clinic, was sentenced to 100 months in prison for his participation in a Medicare fraud scheme involving the submission of more than $50 million in fraudulent billings to Medicare, announced the Assistant Attorney General, the U.S. Attorney of the Southern District of Florida, the FBI Miami Field Office, and the HHS-OIG Office of Investigations Miami Office in a press release.
When coders hear the words "interventional radiology," many think of vascular procedures. However, interventional radiology encompasses additional, nonvascular procedures, such as nephrostomy tube placement and drainage of abscesses.
Many organizations across the country have learned that patient care is more effective when providers work together. One means of accomplishing this goal is by performing patient rounds using teams that include a number of different practitioners, from physicians and nurses to case managers and pharmacists.
When HIM professionals at Driscoll Children's Hospital in Corpus Christi, Texas, looked into its success rate for physician response to coding queries, it knew it needed to do a better job.