Medical Biller Commits Fraud

A medical biller, Joshua Maywalt, of Tampa, Florida, was sentenced to 5 years and 5 [...]

Joe Rivet Named 2022 Elite Lawyer in Health Law

Elite Lawyer recently recognized Joe Rivet for legal excellence in health law.  The Elite Lawyer [...]

Unstrapping Extrapolation

You receive an overpayment letter; in bold letters, you see a huge number and likely [...]

Medical Biller Convicted

Kelly Addam Gersting was a biller for Rehabilitative Mental Health.  He was billing for services [...]

Sorting out the confusion: When the No Surprises Act does—and doesn’t—apply

The No Surprises Act (NSA) took effect January 1, 2022, yet there’s still a lot [...]

File this under “the high price of surgical multi-tasking”

Oops! They did it again. Massachusetts General Hospital has paid a staggering $32.7 million since [...]

No Surprises Act: Six FAQs about the qualifying payment amount (QPA)

Now that the No Surprises Act (NSA) is in full swing as of January 1, [...]

2022 NCCI Updates – Overview of Changes

It is that time of year where updates are abound.  The National Correct Coding Initiative [...]

Should we call it the September Rule or the October Surprise?

While you were celebrating the No Surprises Act designed to protect patients from surprise medical [...]

Three important takeaways from the 2022 Medicare Physician Fee Schedule Final Rule

2,414. That’s the impressive number of pages in the 2022 Medicare Physician Fee Schedule Final [...]