Tag: Healthcare Claims

$1M Medicare Fraud Scheme Nets 2-Year Prison Term for Lab Owner

Mohammed Asif sentenced to two years in prison for a Medicare fraud scheme involving over $1 million in false COVID-19 test claims, underscoring ongoing regulatory and compliance challenges in healthcare billing.

Overview of Medicare NCCI Medically Unlikely Edits for Part B Claims

Explore the role of Medicare's NCCI Medically Unlikely Edits (MUEs) in regulating Part B claims, detailing guidelines for units of service and updates on edit files by CMS to ensure proper billing compliance.