Insights
Notes on reimbursement, audits, coding, and the rules that move a healthcare revenue cycle.
Hospital
July 27, 2022
Good news for inpatient psychiatric facilities (IPF). In FY 2023, these facilities will see an increase in total estimated payments by 2.5% or $90 million compared to FY 2022. It’s all thanks to…
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Rivet Health Law in the News
July 14, 2022
Attorney Joe Rivet was named 2022 Power Lawyers by the Lawyers of Distinction. Mr. Rivet practices in healthcare reimbursement, representing physicians, nurse practitioners, physician assistants,…
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Fraud
June 3, 2022
A medical biller, Joshua Maywalt, of Tampa, Florida, was sentenced to 5 years and 5 months to federal prison for his direct role in committing fraud. He was also ordered to forfeit over $2 million…
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Rivet Health Law in the News
April 27, 2022
Elite Lawyer recently recognized Joe Rivet for legal excellence in health law. The Elite Lawyer Award recognizes attorneys throughout the United States. Attorneys selected by Elite Lawyer have…
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Payor Audits
April 15, 2022
You receive an overpayment letter; in bold letters, you see a huge number and likely a brief mention of extrapolation. Stop! It is critical to fully understand the overpayment or demand letter and…
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Fraud
March 29, 2022
Kelly Addam Gersting was a biller for Rehabilitative Mental Health. He was billing for services provided by Ingrid Sanches when Sanchez was traveling outside of Las Vegas and the United States.…
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Surprise Billing
March 9, 2022
The No Surprises Act (NSA) took effect January 1, 2022, yet there’s still a lot of confusion in the healthcare industry around whether and when the NSA applies. In this article, we’ll answer some…
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Teaching Physician
February 24, 2022
Oops! They did it again. Massachusetts General Hospital has paid a staggering $32.7 million since 2019 to settle three whistleblower claims arising “from the controversial practice known as…
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Surprise Billing
February 1, 2022
Now that the No Surprises Act (NSA) is in full swing as of January 1, 2022, physicians are grappling with many questions, one of which is: Should I go in-network with certain payers or stay…
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