Prolonged Services

By Steve Adams, CPC, CPC-H, CPC-I   The CPT definition of prolonged care varies from that of the Centers for Medicare & Medicaid Services (CMS). Since 2009, CPT recognizes the total duration spent by a physician on a given date, even if the time spent by the physician on that date is not continuous; the time involves both face-to-face time and unit/floor time. CMS only attributes...

HEALTHHEALTHCARE PROVIDERS RISK FCA LIAB...

by Scott R. Grubman[i], Rogers & Hardin, LLP Healthcare providers are at risk of potential liability through a lesser-known provision of the False Claims Act (“FCA”).  Providers who receive too much money from Medicare or Medicaid, even if through no fault of their own, are at risk of substantial FCA liability, as well as civil penalties and exclusion. Given the increased...