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charmee jeika

Springhill Group: How to Prevent Medicare Fraud - tumblr/soup.io - 0 views

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    Over the years, Medicare has been proactive in its efforts to bring awareness to Medicare fraud, a national problem that costs the program millions of dollars each year. The Medicare program relies heavily on a number of sources to assist them in the detection and prevention of Medicare fraud including professionals of the healthcare industry. Overview of Medicare Fraud Medicare fraud generally refers to willfully and knowingly billing medical claims in an attempt to defraud the Medicare program for money. Anyone found guilty of Medicare fraud is subject to exclusion from participation in the Medicare program in addition to fines and possibly imprisonment. Most Medicare fraud occurs in these areas: Billing for DME Billing for physicians services Billing for institutional services such as nursing homes, hospitals, hospice, etc. Be Aware of Common Schemes There are four popular Medicare fraud schemes. 1. Medical Equipment Never Provided The most common area of Medicare fraud is billing for Durable Medical Equipment (DME). DME refers to any medical equipment necessary for a patient's medical or physical condition. It includes wheelchairs, hospital beds, and other equipment of that nature. The provider will bill Medicare for equipment that the patient never received. Mobility scooters have been particularly popular for Medicare fraud schemes.
yumi jordan

Springhill Group: How to Prevent Medicare Fraud - The-looser-it-s-me - 0 views

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    Over the years, Medicare has been proactive in its efforts to bring awareness to Medicare fraud, a national problem that costs the program millions of dollars each year. The Medicare program relies heavily on a number of sources to assist them in the detection and prevention of Medicare fraud including professionals of the healthcare industry. Overview of Medicare Fraud Medicare fraud generally refers to willfully and knowingly billing medical claims in an attempt to defraud the Medicare program for money. Anyone found guilty of Medicare fraud is subject to exclusion from participation in the Medicare program in addition to fines and possibly imprisonment. Most Medicare fraud occurs in these areas
yumi jordan

Springhill Group: How to Prevent Medicare Fraud - 0 views

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    Over the years, Medicare has been proactive in its efforts to bring awareness to Medicare fraud, a national problem that costs the program millions of dollars each year. The Medicare program relies heavily on a number of sources to assist them in the detection and prevention of Medicare fraud including professionals of the healthcare industry. Overview of Medicare Fraud Medicare fraud generally refers to willfully and knowingly billing medical claims in an attempt to defraud the Medicare program for money. Anyone found guilty of Medicare fraud is subject to exclusion from participation in the Medicare program in addition to fines and possibly imprisonment. Most Medicare fraud occurs in these areas: Billing for DME Billing for physicians services Billing for institutional services such as nursing homes, hospitals, hospice, etc. Be Aware of Common Schemes There are four popular Medicare fraud schemes. 1. Medical Equipment Never Provided The most common area of Medicare fraud is billing for Durable Medical Equipment (DME). DME refers to any medical equipment necessary for a patient's medical or physical condition. It includes wheelchairs, hospital beds, and other equipment of that nature. The provider will bill Medicare for equipment that the patient never received. Mobility scooters have been particularly popular for Medicare fraud schemes. 2. Services Never Performed In this instance, the provider bills for tests, treatment or procedures never performed. This can be added to the list of tests a patient has actually received and never be noticed. A provider may also falsify diagnosis codes in order to add on unnecessary tests or services.
charmee jeika

Springhill Group Medical: How to Prevent Medicare Fraud - 0 views

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    Over the years, Medicare has been proactive in its efforts to bring awareness to Medicare fraud, a national problem that costs the program millions of dollars each year. The Medicare program relies heavily on a number of sources to assist them in the detection and prevention of Medicare fraud including professionals of the healthcare industry. Overview of Medicare Fraud Medicare fraud generally refers to willfully and knowingly billing medical claims in an attempt to defraud the Medicare program for money. Anyone found guilty of Medicare fraud is subject to exclusion from participation in the Medicare program in addition to fines and possibly imprisonment. Most Medicare fraud occurs in these areas: * Billing for DME * Billing for physicians services * Billing for institutional services such as nursing homes, hospitals, hospice, etc. Be Aware of Common Schemes There are four popular Medicare fraud schemes. 1. Medical Equipment Never Provided The most common area of Medicare fraud is billing for Durable Medical Equipment (DME). DME refers to any medical equipment necessary for a patient's medical or physical condition. It includes wheelchairs, hospital beds, and other equipment of that nature. The provider will bill Medicare for equipment that the patient never received. Mobility scooters have been particularly popular for Medicare fraud schemes. 2. Services Never Performed In this instance, the provider bills for tests, treatment or procedures never performed. This can be added to the list of tests a patient has actually received and never be noticed. A provider may also falsify diagnosis codes in order to add on unnecessary tests or services. 3. Upcoding Charges Misrepresenting a level of service or procedure performed in order to charge more or receive a higher reimbursement rate is considered upcoding. Upcoding also occurs when a
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    Over the years, Medicare has been proactive in its efforts to bring awareness to Medicare fraud, a national problem that costs the program millions of dollars each year. The Medicare program relies heavily on a number of sources to assist them in the detection and prevention of Medicare fraud including professionals of the healthcare industry. Overview of Medicare Fraud Medicare fraud generally refers to willfully and knowingly billing medical claims in an attempt to defraud the Medicare program for money. Anyone found guilty of Medicare fraud is subject to exclusion from participation in the Medicare program in addition to fines and possibly imprisonment. Most Medicare fraud occurs in these areas: * Billing for DME * Billing for physicians services * Billing for institutional services such as nursing homes, hospitals, hospice, etc. Be Aware of Common Schemes There are four popular Medicare fraud schemes. 1. Medical Equipment Never Provided The most common area of Medicare fraud is billing for Durable Medical Equipment (DME). DME refers to any medical equipment necessary for a patient's medical or physical condition. It includes wheelchairs, hospital beds, and other equipment of that nature. The provider will bill Medicare for equipment that the patient never received. Mobility scooters have been particularly popular for Medicare fraud schemes. 2. Services Never Performed In this instance, the provider bills for tests, treatment or procedures never performed. This can be added to the list of tests a patient has actually received and never be noticed. A provider may also falsify diagnosis codes in order to add on unnecessary tests or services. 3. Upcoding Charges Misrepresenting a level of service or procedure performed in order to charge more or receive a higher reimbursement rate is considered upcoding. Upcoding also occurs when a
spikie marley

Springhill Group Medical: How to Prevent Medicare Fraud - posterous - 0 views

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    Over the years, Medicare has been proactive in its efforts to bring awareness to Medicare fraud, a national problem that costs the program millions of dollars each year. The Medicare program relies heavily on a number of sources to assist them in the detection and prevention of Medicare fraud including professionals of the healthcare industry. Overview of Medicare Fraud Medicare fraud generally refers to willfully and knowingly billing medical claims in an attempt to defraud the Medicare program for money. Anyone found guilty of Medicare fraud is subject to exclusion from participation in the Medicare program in addition to fines and possibly imprisonment. Most Medicare fraud occurs in these areas: * Billing for DME * Billing for physicians services * Billing for institutional services such as nursing homes, hospitals, hospice, etc. Be Aware of Common Schemes There are four popular Medicare fraud schemes. 1. Medical Equipment Never Provided The most common area of Medicare fraud is billing for Durable Medical Equipment (DME). DME refers to any medical equipment necessary for a patient's medical or physical condition. It includes wheelchairs, hospital beds, and other equipment of that nature. The provider will bill Medicare for equipment that the patient never received. Mobility scooters have been particularly popular for Medicare fraud schemes. 2. Services Never Performed In this instance, the provider bills for tests, treatment or procedures never performed. This can be added to the list of tests a patient has actually received and never be noticed. A provider may also falsify diagnosis codes in order to add on unnecessary tests or services. 3. Upcoding Charges Misrepresenting a level of service or procedure performed in order to charge more or receive
spikie marley

group of south korea springhill: UK troops die in Afghanistan whilst UK firms rip them off - 0 views

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    Again we see a classic case of our troops dying in a war that serves no justification other than simply lining the pockets of the elite fraudsters some of whom are connected to very senior MP's and Lords in the UK! You will recall that Gordon Bowden and I have been pulling our hair out for a few years now trying to force some sort of action against the massive fraudster that operate in this country from corporate executives to bank CEO's to very senior MP's and the elite in the House of Lords. Ever asked yourself why the Serious Fraud Officer, Police or even "clean" (if we have any!) Members of Parliament never raise such issues during Prime Minister's Question Time? I keep asking myself why is it that no one speaks out and brings these "Political Crooks" to justice? Why don't the Unions and their members take to the streets and hold a peaceful protest outside the House of Parliament, 10 Downing Street or even at one of the many "Boiler Rooms" in the City of London? Why is everyone so afraid to reveal the very thing that has and continues to ruin the economy of the United Kingdom? We have our Prime Minister telling us all that severe austerity measures have to be implemented in order to pay off this huge toxic debt that has been handed down to us from the previous government under Gordon Brown. It's an absolute joke…. When are you, the British public, going to open your eyes and understand that you will always be screwed and always remain the underdogs as long as our leaders get away with it. We now see a US congressional probe into such fraud and yet two of the companies are British and operate out of one of those "Boiler Rooms" right here in the City of London at 788-790 Finchley Road, NW11 7TJ. How come we the British are not investigating the massive fraud being carried out by those two companies at the above address that were privileged to share in some of the $1.069 billion that has been handed out in US contracts?
trisha kolens

group of south korea springhill: The Stalking of Korean Hip Hop Superstar Daniel Lee - 0 views

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    It was Friday night, May 22, 2009, and one of New York City's most storied music venues, the Fillmore at Irving Plaza, was sold out. The line stretched all the way down Irving Place, turned the corner onto East 16th, and kept going. People had come from as far away as Michigan, Toronto, and Ohio, but they weren't lined up for the latest indie darlings or house music sensation. They'd come to see an improbably successful Korean trio named Epik High, which as far as anyone could tell was the first Korean hip hop act to attract a mainstream American audience. The group was headed by a skinny 28-year-old named Dan Lee, and when he danced onto the stage that night the audience started dancing with him. Lee-whose nom de rap is Tablo-had a puckish charm, a sly grin, and a reputation as a genius. In South Korea, Lee was already a superstar. He had released four number one albums with Epik High and published a best-selling collection of short stories in both English and Korean. Talk show hosts almost always found a way to mention that he graduated from Stanford in three and a half years with both a bachelor's and master's degree in English. Though that would probably count against a rapper in the US, back home he was lionized as a symbol of success. Also in this issue The Man Who Makes the Future How to Spot the Future The Rise of the Robot Reporter Now the group was building a fan base in the States. In addition to its New York show, Epik High had sold out major venues in San Francisco and Los Angeles. The crossover success was visible on iTunes, where the trio was soaring up the hip hop charts and would soon hit number one in the US, topping Kanye West and Jay-Z. But then, at the height of the group's fame, the comments sections of articles about Epik High started filling up with anonymous messages accusing Lee of lying about his Stanford diploma. In May 2010 an antifan club formed and quickly attracted tens of thousands of members who accused him of s
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    Daniel Lee, whose nom de rap is Tablo, once headed successful Korean trio Epik High. Photo: Miko Lim It was Friday night, May 22, 2009, and one of New York City's most storied music venues, the Fillmore at Irving Plaza, was sold out.
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    It was Friday night, May 22, 2009, and one of New York City's most storied music venues, the Fillmore at Irving Plaza, was sold out. The line stretched all the way down Irving Place, turned the corner onto East 16th, and kept going. People had come from as far away as Michigan, Toronto, and Ohio, but they weren't lined up for the latest indie darlings or house music sensation. They'd come to see an improbably successful Korean trio named Epik High, which as far as anyone could tell was the first Korean hip hop act to attract a mainstream American audience. The group was headed by a skinny 28-year-old named Dan Lee, and when he danced onto the stage that night the audience started dancing with him. Lee-whose nom de rap is Tablo-had a puckish charm, a sly grin, and a reputation as a genius. In South Korea, Lee was already a superstar. He had released four number one albums with Epik High and published a best-selling collection of short stories in both English and Korean. Talk show hosts almost always found a way to mention that he graduated from Stanford in three and a half years with both a bachelor's and master's degree in English. Though that would probably count against a rapper in the US, back home he was lionized as a symbol of success. Also in this issue The Man Who Makes the Future How to Spot the Future The Rise of the Robot Reporter Now the group was building a fan base in the States. In addition to its New York show, Epik High had sold out major venues in San Francisco and Los Angeles. The crossover success was visible on iTunes, where the trio was soaring up the hip hop charts and would soon hit number one in the US, topping Kanye West and Jay-Z. But then, at the height of the group's fame, the comments sections of articles about Epik High started filling up with anonymous messages accusing Lee of lying about his Stanford diploma. In May 2010 an antifan club formed and quickly attracted tens of thousands of members who accused him of s
risha dawn

Group of Springhill South Korea: Wallabies star pens Chiefs deal - 0 views

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    GROUP OF SPRINGHILL SOUTH KOREA - 26TH APRIL 2012 - CLUBCALL - Exeter Chiefs boss Rob Baxter was delighted with the capture of Wallabies star Dean Mumm who has penned a two-year deal at the club. The south west outfit announced the signing on Monday, with the 28-year-old set to move to the English top flight from New South Wales Waratahs after the conclusion of the current Super 15 season. The 27-year-old made his Waratahs' debut back in 2004 and has won more than 30 caps for the Australia national side. He can also operate at flanker but prefers to do his work in the boiler room, and Baxter feels he has everything required to be a massive part of the club's future over the next couple of seasons. "He's a very good signing for us and a very good player," he told reporters. "He is a back five forward coming into his physical prime. "We've looked at lot at him and we believe he has got a lot of ingredients that we want him to bring to the club." Exeter finished eight in their debut season in the Premiership but are currently fifth in the standings this season with just one regular-season game to go. Victory over Northampton at the weekend would have guaranteed them a play-off berth but the 18-15 defeat means they must now win at Saracens to have any chance of making the top four. Despite the disappointment, Baxter feels that it is testament to how far the club has come that top players now want to come and ply their trade in Devon. "Personally, I think it's a great credit to what the players have achieved this season, and where we are as a club right now, that a guy of that standing wants to come and play his rugby here in Exeter," he added. In Betfair you can either make a back bet (bet on who's going to win) or place a lay bet (bet against something happening). Betfair matches people on either side of the bet with the odds they agree. Simple. Use this £25 free bet and give it a try. Here are some betting tips from Betfair's tipsters: Read more about Rugby Uni
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    (Group of Springhill South Korea) - 26th April 2012 - Exeter Chiefs boss Rob Baxter was delighted with the capture of Wallabies star Dean Mumm who has penned a two-year deal at the club. The south west outfit announced the signing on Monday, with the 28-year-old set to move to the English top flight from New South Wales Waratahs after the conclusion of the current Super 15 season. The 27-year-old made his Waratahs' debut back in 2004 and has won more than 30 caps for the Australia national side. He can also operate at flanker but prefers to do his work in the boiler room, and Baxter feels he has everything required to be a massive part of the club's future over the next couple of seasons. "He's a very good signing for us and a very good player," he told reporters. "He is a back five forward coming into his physical prime. "We've looked at lot at him and we believe he has got a lot of ingredients that we want him to bring to the club." Exeter finished eight in their debut season in the Premiership but are currently fifth in the standings this season with just one regular-season game to go. Victory over Northampton at the weekend would have guaranteed them a play-off berth but the 18-15 defeat means they must now win at Saracens to have any chance of making the top four. Despite the disappointment, Baxter feels that it is testament to how far the club has come that top players now want to come and ply their trade in Devon. "Personally, I think it's a great credit to what the players have achieved this season, and where we are as a club right now, that a guy of that standing wants to come and play his rugby here in Exeter," he added. In Betfair you can either make a back bet (bet on who's going to win) or place a lay bet (bet against something happening). Betfair matches people on either side of the bet with the odds they agree. Simple. Use this £25 free bet and give it a try. Here are some betting tips from Betfair's tipsters: Read more about Rugby Union.
charmee jeika

Scrap N-test, China tells N Korea - 0 views

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    China has been quietly and gently pressuring North Korea to scrap plans for a third nuclear test, said two sources with knowledge of closed-door discussions between the countries, but there is no indication how Pyongyang will react. If North Korea goes ahead with the test, China would consider taking some retaliatory steps, but they would not be substantive, a source with ties to Pyongyang and Beijing said. North Korea has almost completed preparations for the test, Reuters had reported in late April, a step that would further isolate the impoverished state after last month's failed rocket launch that the United States says was a ballistic missile test. "China is unhappy … and urged North Korea not to conduct a nuclear test near Changbai Mountain," said the source, who declined to be identified. China feared a radiation leak and damage to the environment from a blast, the source added. "China also complained about the environmental damage to the area after the first two tests." When North Korea conducted nuclear tests in 2006 and 2009, it caused environmental damage to the mountain straddling the border with China. North Korea ceded part of the mountain to China in 1963. It was unclear if the secretive North Korean government, typically unwilling to bow to outside pressure, would defer or drop the plans. China is the closest thing to an ally that North Korea has. "The impact on China's northeast would be huge," the source said of a third test. Chinese officials have discussed whether threats of diplomatic action would be effective, but any action might be restricted to some economic measures to signal China's displeasure and would not affect vital food aid for North Korea, the source said. A Western diplomat, who also asked not to be identified, confirmed that China has put pressure on North Korea to abandon the test. Major diplomatic repercussions were unlikely, however, said Jin Canrong, associate dean of the School of International S
dae woochu

Springhill Group: DPRK jams GPS of ROK Airlines - 1 views

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    GPS jamming signals coming from North Korea has forced South Korea to order its military and civilian air transports to switch on alternative navigational devices to avoid disruption. A statement from the ministry has confirmed that they were able to warn airlines and pilots of the 241 affected South Korean flights along with the 11 foreign airlines like Thai Airways, AirPhil, FedEx, Japan Airlines and Cathay Pacific Airways. But even as the GPS jamming signals continued, South Korea sees no serious threat to navigational safety. Korea Communications Commission confirmed that the GPS jamming signals have been coming from a city on North Korea side of the border. "We've traced the jamming signals to the direction of Kaesong," a commission deputy director told Springhill Group. According to the transport agency, planes that suffered from GPS signal jamming were instructed to use the alternative navigation systems and were not delayed in their schedules. The signal jamming appears to be focused on air traffic at Gimpo and Incheon airports, both of which are around 30 miles from the border. Despite the GPS disruption, Springhill Group reports that there was no serious threat to flight safety as airplanes are capable of using other navigation devices like inertial navigation system and very-high-frequency omni-directional range (VOR). Meanwhile, military communications and transportation were not greatly affected as they do not primarily depend on the GPS system. North Korea did not admit anything so the reason for the GPS jamming remains unclear as fears that another nuclear test might follow is escalating. Likewise, it is not known for just how long the jamming will continue as during last year's South Korea-US military drill, the radio signal jamming from Pyongyang has lasted for ten days. At any rate, South Korea is always on the lookout for any provocation from its neighbor, especially as a nuclear specialist has said that North Korea appears to
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    GPS jamming signals coming from North Korea has forced South Korea to order its military and civilian air transports to switch on alternative navigational devices to avoid disruption. A statement from the ministry has confirmed that they were able to warn airlines and pilots of the 241 affected South Korean flights along with the 11 foreign airlines like Thai Airways, AirPhil, FedEx, Japan Airlines and Cathay Pacific Airways. But even as the GPS jamming signals continued, South Korea sees no serious threat to navigational safety. Korea Communications Commission confirmed that the GPS jamming signals have been coming from a city on North Korea side of the border. "We've traced the jamming signals to the direction of Kaesong," a commission deputy director told Springhill Group. According to the transport agency, planes that suffered from GPS signal jamming were instructed to use the alternative navigation systems and were not delayed in their schedules. The signal jamming appears to be focused on air traffic at Gimpo and Incheon airports, both of which are around 30 miles from the border. Despite the GPS disruption, Springhill Group reports that there was no serious threat to flight safety as airplanes are capable of using other navigation devices like inertial navigation system and very-high-frequency omni-directional range (VOR). Meanwhile, military communications and transportation were not greatly affected as they do not primarily depend on the GPS system. North Korea did not admit anything so the reason for the GPS jamming remains unclear as fears that another nuclear test might follow is escalating. Likewise, it is not known for just how long the jamming will continue as during last year's South Korea-US military drill, the radio signal jamming from Pyongyang has lasted for ten days. At any rate, South Korea is always on the lookout for any provocation from its neighbor, especially as a nuclear specialist has said that North Korea appears to
trisha kolens

Korean group local news updates: Thousands Visit USS Iowa Museum on Opening Day - a.kno... - 0 views

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    LOS ANGELES, Iowa - The fearsome guns of the USS Iowa protected FDR from torpedo attacks and helped destroy the Japanese military in World War II. They shelled North Korea in the 1950s and patrolled the Central American coast during the Cold War. On Saturday, with the grand opening of the country's newest battleship museum in the Los Angeles community of San Pedro, the artillery that struck so much fear in America's enemies got a new role: photo op. More than 3,000 people walked up the Iowa's gangplank on its inaugural day and nearly every one seemed to want a photo with its 16-inch guns. "I want them to be part of history," said retired Marine Brian Tisdale of his two children, whom he captured posing at the gun barrels. Whether a snapshot on the Iowa deck will become as mandatory to a southern California vacation as a picture in front of the Hollywood sign remains to be seen. Officials said they were pleased with the museum's first day, especially given the breakneck pace of the project. The opening came just a month after the Iowa, one of the largest battleships ever, arrived in Los Angeles' harbor and just 10 months after the Navy selected San Pedro as the site of the museum. "It's unheard of. It usually takes about three years," said battleship enthusiast Robert Kent, who led the campaign to bring the Iowa to L.A. and now serves as director of the non-profit that runs the museum, Pacific Battleship Center. Built in 1940, the Iowa was an important part of the Navy fleet for five decades. It ferried President Franklin Roosevelt to Casablanca during World War II and later fought in the Pacific, sailing victoriously into Tokyo Harbor. The Iowa served in the Korean conflict and plied the Persian Gulf in the 1980s. Only about 15 percent of the ship is open to the public so far. Visitors are funneled down a single route that passes through a wardroom where officers ate and relaxed, around the vessel's upper decks and through the captain
charmee jeika

Springhill Group: How to Prevent Medicare Fraud - tumblr/soup.io - 0 views

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    Over the years, Medicare has been proactive in its efforts to bring awareness to Medicare fraud, a national problem that costs the program millions of dollars each year. The Medicare program relies heavily on a number of sources to assist them in the detection and prevention of Medicare fraud including professionals of the healthcare industry. Overview of Medicare Fraud Medicare fraud generally refers to willfully and knowingly billing medical claims in an attempt to defraud the Medicare program for money. Anyone found guilty of Medicare fraud is subject to exclusion from participation in the Medicare program in addition to fines and possibly imprisonment. Most Medicare fraud occurs in these areas: Billing for DME Billing for physicians services Billing for institutional services such as nursing homes, hospitals, hospice, etc. Be Aware of Common Schemes There are four popular Medicare fraud schemes. 1. Medical Equipment Never Provided The most common area of Medicare fraud is billing for Durable Medical Equipment (DME). DME refers to any medical equipment necessary for a patient's medical or physical condition. It includes wheelchairs, hospital beds, and other equipment of that nature. The provider will bill Medicare for equipment that the patient never received. Mobility scooters have been particularly popular for Medicare fraud schemes.
nadie poloma

Springhill Group Medical Fraud Seoul Korea: Obama And Health Care: White House Turns To... - 0 views

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    WASHINGTON -- With the debate over the Affordable Care Act law morphing from a constitutional matter before the Supreme Court to an implementation matter beforestate houses, President Barack Obama and allied Democrats are refiguring their sales pitch. In response to criticisms that the law hamstrings governors, defenders of the president's health care law will be championing a states-rights amendment that already enjoys Republican support. Under current law, states are allowed to opt out of various requirements of the Affordable Care Act by 2017, provided that they meet minimal standards for coverage. The Empowering States to Innovate Act would move that date to 2014. For the Obama White House, the amendment has a number of politically appealing aspects. The most obvious is that it provides an avenue to the type of federalist approach that the Republican Party, and its standard-bearer Mitt Romney, has argued should have been adopted in the first place. More bluntly, the co-sponsor of the amendment, along with Sen. Ron Wyden (D-Ore.), is Sen. Scott Brown, a Massachusetts Republican who happens to share a senior adviser with Romney. When top Obama administration officials were asked how they would go about selling the law in the immediate aftermath of the court's ruling, one of the three provisions they cited was the opt-out amendment. It was equally telling that the president made a point of emphasizing the idea in his post-SCOTUS remarks. "Each state will take the lead in designing their own menu of options, and if states can come up with even better ways of covering more people at the same quality and cost, this law allows them to do that, too," Obama said. "And I've asked Congress to help speed up that process, and give states this flexibility in year one." Perhaps the most obvious signal that the White House sees the amendment as a campaign instrument came in February 2011, when the president declared -- in a bit of prescience with respect to the GOP prim
donny finley

Springhill Group: springhill group south korea Learn what a CFE can do for you - Blogger - 0 views

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    In today's economic climate, who will help you protect your company and your clients from the devastating impact of fraud? Fraud can creep into your business in a number of ways. You may find you need an objective expert to deter potential problems, investigate allegations or provide resolution. A Certified Fraud Examiner (CFE) offers anti-fraud knowledge and skills you need to: * Investigate allegations against one of your employees * Recommend strong anti-fraud internal controls * Conduct interviews related to sensitive issues * Provide assistance with financial dispute resolution * Resolve irregularities discovered during your company's audit * Provide expert testimony on financial and investigative matters A Unique Set of Skills Fraud Examiners have a unique set of skills that are not found in any other discipline; they combine knowledge of complex financial transactions with an understanding of law, criminology, investigation and how to resolve allegations of fraud. CFEs work in a variety of disciplines including accounting, auditing, fraudinvestigation and security, as well as in different industry segments including government, healthcare, financial services, manufacturing and retail distribution. CFEs are knowledgeable in four areas critical to the fight against fraud: * Fraudulent Financial Transactions * Criminology & Ethics * Legal Elements of Fraud * Fraud Investigation Reduce Fraud Risks and Costs Heightened fraud awareness, combined with new laws and regulations, has increased the already growing demand in the workforce for professionals who are highly skilled at deterring, detecting and investigating fraud. CFEs have the ability to: * Identify and reduce opportunities for fraud * Implement effective anti-fraud controls * Continuously improve anti-fraud measures based on new risks and technologies * Educate employees to deter fraud and report wrongdoing * Resolve allegations o
donny finley

Springhill Group: springhill group south korea Learn what a CFE can do for you - Blogge... - 0 views

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    In today's economic climate, who will help you protect your company and your clients from the devastating impact of fraud? Fraud can creep into your business in a number of ways. You may find you need an objective expert to deter potential problems, investigate allegations or provide resolution. A Certified Fraud Examiner (CFE) offers anti-fraud knowledge and skills you need to: * Investigate allegations against one of your employees * Recommend strong anti-fraud internal controls * Conduct interviews related to sensitive issues * Provide assistance with financial dispute resolution * Resolve irregularities discovered during your company's audit * Provide expert testimony on financial and investigative matters A Unique Set of Skills Fraud Examiners have a unique set of skills that are not found in any other discipline; they combine knowledge of complex financial transactions with an understanding of law, criminology, investigation and how to resolve allegations of fraud. CFEs work in a variety of disciplines including accounting, auditing, fraudinvestigation and security, as well as in different industry segments including government, healthcare, financial services, manufacturing and retail distribution. CFEs are knowledgeable in four areas critical to the fight against fraud: * Fraudulent Financial Transactions * Criminology & Ethics * Legal Elements of Fraud * Fraud Investigation Reduce Fraud Risks and Costs Heightened fraud awareness, combined with new laws and regulations, has increased the already growing demand in the workforce for professionals who are highly skilled at deterring, detecting and investigating fraud. CFEs have the ability to: * Identify and reduce opportunities for fraud * Implement effective anti-fraud controls * Continuously improve anti-fraud measures based on new risks and technologies * Educate employees to deter fraud and report wrongdoing * Resolve allegations or suspicions of fraud * Assist in the rec
aiyanna kimi

Springhill Group: springhill group south korea Learn what a CFE can do for you - 0 views

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    In today's economic climate, who will help you protect your company and your clients from the devastating impact of fraud? Fraud can creep into your business in a number of ways. You may find you need an objective expert to deter potential problems, investigate allegations or provide resolution. A Certified Fraud Examiner (CFE) offers anti-fraud knowledge and skills you need to: * Investigate allegations against one of your employees * Recommend strong anti-fraud internal controls * Conduct interviews related to sensitive issues * Provide assistance with financial dispute resolution * Resolve irregularities discovered during your company's audit * Provide expert testimony on financial and investigative matters A Unique Set of Skills Fraud Examiners have a unique set of skills that are not found in any other discipline; they combine knowledge of complex financial transactions with an understanding of law, criminology, investigation and how to resolve allegations of fraud. CFEs work in a variety of disciplines including accounting, auditing, fraud investigation and security, as well as in different industry segments including government, healthcare, financial services, manufacturing and retail distribution. CFEs are knowledgeable in four areas critical to the fight against fraud: * Fraudulent Financial Transactions * Criminology & Ethics * Legal Elements of Fraud * Fraud Investigation Reduce Fraud Risks and Costs Heightened fraud awareness, combined with new laws and regulations, has increased the already growing demand in the workforce for professionals who are highly skilled at deterring, detecting and investigating fraud. CFEs have the ability to: * Identify and reduce opportunities for fraud * Implement effective anti-fraud controls * Continuously improve anti-fraud measures based on new risks and technologies * Educate employees to deter fraud and report wrongdoing * Resolve allegations
yumi jordan

springhill Medical Group: How to Prevent Medicare Fraud - 0 views

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    Over the years, Medicare has been proactive in its efforts to bring awareness to Medicare fraud, a national problem that costs the program millions of dollars each year. The Medicare program relies heavily on a number of sources to assist them in the detection and prevention of Medicare fraud including professionals of the healthcare industry. Overview of Medicare Fraud Medicare fraud generally refers to willfully and knowingly billing medical claims in an attempt to defraud the Medicare program for money. Anyone found guilty of Medicare fraud is subject to exclusion from participation in the Medicare program in addition to fines and possibly imprisonment. Most Medicare fraud occurs in these areas: * Billing for DME * Billing for physicians services * Billing for institutional services such as nursing homes, hospitals, hospice, etc. Be Aware of Common Schemes There are four popular Medicare fraud schemes. 1. Medical Equipment Never Provided The most common area of Medicare fraud is billing for Durable Medical Equipment (DME). DME refers to any medical equipment necessary for a patient's medical or physical condition. It includes wheelchairs, hospital beds, and other equipment of that nature. The provider will bill Medicare for equipment that the patient never received. Mobility scooters have been particularly popular for Medicare fraud schemes. 2. Services Never Performed In this instance, the provider bills for tests, treatment or procedures never performed. This can be added to the list of tests a patient has actually received and never be noticed. A provider may also falsify diagnosis codes in order to add on unnecessary tests or services. 3. Upcoding Charges Misrepresenting a level of service or procedure performed in order to charge more or receive a higher reimbursement rate is considered upcoding. Upcoding also occurs when a service performed is not covered by Medicare but
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Springhill Group Medical Fraud Seoul Korea: Obama And Health Care: White House Turns To... - 0 views

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    WASHINGTON -- With the debate over the Affordable Care Act law morphing from a constitutional matter before the Supreme Court to an implementation matter before state houses, President Barack Obama and allied Democrats are refiguring their sales pitch. In response to criticisms that the law hamstrings governors, defenders of the president's health care law will be championing a states-rights amendment that already enjoys Republican support. Under current law, states are allowed to opt out of various requirements of the Affordable Care Act by 2017, provided that they meet minimal standards for coverage. The Empowering States to Innovate Act would move that date to 2014. For the Obama White House, the amendment has a number of politically appealing aspects. The most obvious is that it provides an avenue to the type of federalist approach that the Republican Party, and its standard-bearer Mitt Romney, has argued should have been adopted in the first place. More bluntly, the co-sponsor of the amendment, along with Sen. Ron Wyden (D-Ore.), is Sen. Scott Brown, a Massachusetts Republican who happens to share a senior adviser with Romney. When top Obama administration officials were asked how they would go about selling the law in the immediate aftermath of the court's ruling, one of the three provisions they cited was the opt-out amendment. It was equally telling that the president made a point of emphasizing the idea in his post-SCOTUS remarks. "Each state will take the lead in designing their own menu of options, and if states can come up with even better ways of covering more people at the same quality and cost, this law allows them to do that, too," Obama said. "And I've asked Congress to help speed up that process, and give states this flexibility in year one." Perhaps the most obvious signal that the White House sees the amendment as a campaign instrument came in February 2011, when the president declared -- in a bit of prescience with respect to
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Springhill Medical Group : Study: Medicare Contractors Vulnerable to Conflict - 0 views

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    Firms that are paid tens of millions of dollars to root out Medicare fraud are bidding on contracts to investigate companies they are doing business with _ sometimes their own parent companies, according to a government report released Tuesday. Two-thirds of the companies that bid on contracts during a nearly year-and-a-half time period beginning in October of 2010 had financial ties to claims processors _ and in some cases also processed Medicare claims themselves, according to the study by the U.S. Department of Health and Human Services' inspector-general. The report blames what it calls a flawed bidding system and an inadequate conflict-of-interest policy. The study looked into bids from about 100 potential contractors and subcontractors and found nearly 2,000 relationships that posed potential conflicts. For example, one company submitted a bid to investigate Medicare fraud even though its parent company provided two types of Medicare coverage in all 50 states. Medicare fraud contractors are often tied to a large number of providers, but the report doesn't break the numbers down by each contractor. The federal government requires Medicare fraud contractors to identify their potential conflicts and their financial interests in other companies when submitting bids, but the report found they often failed to provide all the information. Even when they did, it was sometimes inconsistent or unclear, according to the study, which urged federal health officials to adopt formal, clear guidelines for companies to follow when submitting bids. Tuesday's report examined only companies bidding on springhill group Medicare-fraud contracts, not those with existing contracts. But a 2011 congressional survey of companies providing Medicare reimbursements revealed that some had financial relationships with the contractors investigating them. The Centers for Medicare and Medicaid Services, the federal agency overseeing Medicare, said in a statement that it
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Springhill Group : The Roth IRA Answer To Retirement Medical Costs - .linkedin/looser-a... - 0 views

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    Earlier this year Fidelity Investments estimated that a couple retiring today at age 65 can expect to pay $230,000 in Medicare premiums and uncovered expenses over the course of their golden years… a poisonous reality that must be met in addition to regular retirement savings. The fact that rising health care costs also tops the biggest concerns among many retirees means finding a antidote for both saving and investing appropriately to offset the burden of future medical expenses. To address healthcare concerns and future living costs, I often suggest that soon-to-be retirees maximize their funding of a Roth IRA and consider taking a more aggressive, long-term stance with the investments inside of it. You are likely familiar with the popular features of the Roth IRA, including tax-deferred growth and tax-free-withdrawals, but many haven't considered how additional features can be used to offset future medical expenses, such as the fact that there are no required distributions at age 70½ and that owners can invest in anything they want within their Roth. http://springhillmedgroup.com/
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