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February 2018 Archives

New York obstetrician loses medical license for misconduct

An obstetrician formerly employed at an upstate hospital can no longer practice medicine in New York. The Department of Health's Board of Professional Medical Conduct sustained charges of misconduct in a pair of cases in which he cared for diabetic patients.

DOJ gets less than a tenth of what it requested in kickback case

A New York science and technology news publication is reporting that a jury recently found the former CEO of a diagnostic testing lab and two marketing executives liable for Medicare fraud under the federal False Claims Act.

Important Notice for Medicare Providers: Medicare Beneficiaries Identifier is replacing Social Security number

The Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 mandates removal of Social Security Number (SSN)-based HIC numbers from Medicare cards to address current risk of beneficiary medical identity theft. CMS will use a new MBI generator to assign over 150 Million MBIs beginning April 1, 2018, and continuing through December 31, 2019, for full implementation January 1, 2020. While CMS will continue to process transactions utilizing a beneficiary's current HIC number during the transition period, Medicare fee for service entities must modify their current processes and systems to be ready to submit or exchange the MBI by April 1, 2018. The current system requires a 9-byte SSN plus 1 or 2-byte BIC. The MBI system will require an 11-byte alpha numeric numeration system. All Medicare fee for services entities are advised to check all of their internal billing systems to be certain the software they are currently using will accommodate the new MBIs. During the transition period, Medicare entities will be allowed to enter either the MBI or HIC number. If you use vendors to bill Medicare, ask them about their MBI practice management system changes and make sure they are ready for the change.

Long Island doctor convicted of Medicare fraud headed to prison

A suburban New York City surgeon has been sentenced to spend 13 years in a federal prison for submitting false claims to Medicare. The Long Island doctor was convicted of health care fraud, making false statements related to health care matters and money laundering by a federal jury in a trial that lasted 11 days.