Justice Department Reaches Settlement Agreement With Physicians Group In El Paso Over Allegations Of Violating The False Claims Act
EL PASO El Paso Ear, Nose & Throat Associates has agreed to pay $750,000 to settle allegations that they violated the False Claims Act by billing Medicaid, Medicare and other federal healthcare programs by upcoding evaluation and management codes.
The government alleged that EPENT knowingly caused false claims to be submitted to federal healthcare programs by billing for services at a higher rate of reimbursement than they would be entitled to for the service actually provided. This scheme is commonly referred to as upcoding.
Providers who line their pockets by over-billing for medical care increase medical costs for all of us and drain critical funds from Medicare and other government health programs, said U.S. Attorney Ashley C. Hoff. We will continue to hold accountable medical professionals who undermine our healthcare system by over-billing for care.
The Defense Health Agency supports the delivery of TRICARE, the program that provides integrated, affordable, high-quality healthcare services to more than 9.6 million uniformed service members, retirees and their families. TRICARE was one of the government health programs that was defrauded in this case.
The matter was investigated by the FBI, U.S. Department of Health and Human Services Office of Inspector General, Defense Criminal Investigative Service and the Texas Attorney Generals Office Civil Medicaid Fraud Division.
Assistant U.S. Attorney Eduardo R. Castillo handled this matter.
El Paso Ear Nose & Throat Assoc
Ear, Nose, and Throat 1 Provider
201 Bartlett Dr Ste A, El Paso TX, 79912
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- Blue Cross Blue Shield of Texas
- CareFirst Blue Cross Blue Shield
- Ablation or Excision of Nasal Turbinates
- Abscess or Cyst Drainage or Aspiration
- Abscess or Fluid Incision and Drainage
- Acoustic Neuroma
- Antrostomy and Antrotomy
- Deformities of Auricle or Pinna
- Deviated Septum
- Diagnostic Nasal and-or Sinus Endoscopy
- Evaluation and Treatment of Sleep Disorders
- Excision of Parotid, Sublingual, or Submandibular Gland
- Excision or Destruction of Palate or Uvula Lesion
- Excision or Destruction of Pharynx Lesion
- Excision or Destruction of Tongue Lesion
- Facial Fracture
- Fiberoptic Endoscopic Evaluation of Swallowing
- Head or Neck Lump or Swelling
- Hearing Loss Due to Noise
- Hearing Screening
- Incision and Removal of Foreign Object
- Intranasal or Sinus Procedure
- Laryngoscopy – Laryngotomy – Laryngectomy – Pharyngolaryngectomy – Pharyngectomy
- Laryngoscopy and Laryngotomy
- Loss of Smell and-or Taste
- Lymph Node Biopsy or Excision
- Malignant Otitis Externa
- Middle Ear Implant Candidacy Evaluation
- Parathyroid Tumor: Other than Malignant
- Salivary Gland Stones and Inflammation
- Vestibule and Floor of Mouth, Excision or Destruction
- Vocal Cord Nodule
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Best Ear Nose And Throat Doctors And Ents Inel Paso Tx
We found 24Ear Nose And Throat Doctors in El Paso.
Otolaryngology Specialists in this region have an average rating of 3.6 stars. Below are some of the best options around El Paso. The providers below have at least 1 or more past patient ratings, so you can be confident that these providers have the experience that you are looking for.
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About El Paso Ear Nose & Throat Associates
El Paso Ear Nose & Throat Associates is a provider established in El Paso, Texas specializing in Otolaryngology. The NPI number of El Paso Ear Nose & Throat Associates is 1083646053 and was assigned on July 2006. The practitioner’s primary taxonomy code is 207Y00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. El Paso Ear Nose & Throat Associates operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Jorge Juan Arango Md
|EL PASO EAR NOSE & THROAT ASSOCIATES|
|Provider Location Address||5959 GATEWAY W STE 160 EL PASO, TX 79925|
|Provider Mailing Address||5959 GATEWAY W STE 120 EL PASO, TX 79925|
|NPI Entity Type|
Ent / Otolaryngology Education & Training
According to the American Academy of Otolaryngology, otolaryngologists , are properly trained and prepared to treat patients following up to 15 years of collegiate and post-graduate training. A typical otolaryngologist must complete a bachelors degree , an MD or DO medical degree , and at least five years of specialized training in the form of a residency and/or fellowship.
Following graduation from medical school, the physician must complete a residency program in otolaryngology, which includes surgical training. During residency training, the physician will spend approximately one year in general surgery and four years of otolaryngology-head and neck surgery. Otolaryngology residents gain clinical experience in the examination of the structures of the head and neck, as well as the diagnosis and treatment of common and rare conditions affecting the head, neck, ear, nose and throat. Residents are also exposed to clinical rotations in rhinology/allergy, neurotology and laryngology, among others.
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Npi Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
|Start with the original NPI number, the last digit is the check digit and is not used in the calculation.|
|Step 1: Double the value of the alternate digits, beginning with the rightmost digit.|
|Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.|
|2 + 0 + 1 + 6 + 3 + 1 + 2 + 4 + 1 + 2 + 0 + 1 + 0 + 24 = 47|
|Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.|
|50 – 47 = 3||3|
The NPI number 1083646053 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Best Ent Doctors In El Paso Tx
Expert recommended Top 3 ENT Specialists in El Paso, Texas. All of our Otolaryngologists actually face a rigorous 50-Point Inspection, which includes customer reviews, history, complaints, ratings, satisfaction, trust, cost and general excellence. You deserve only the best!
RODNEY K. JAMISON, MD – SOUTHWEST EAR, NOSE, AND THROAT CONSULTANTS
1600 Medical Center Street, Suite #101, El Paso, TX 79902DIRECTIONS
Heres The Deal:Dr. Rodney K. Jamison graduated with his medical degree from the University of Arkansas School of Medicine in 1974. He is board certified by the American Academy of Otolaryngology-Head and Neck Surgery. He is an affiliate of the American Academy of Otolaryngic Allergy and the American Medical Association. Dr. Jamison effectively provides comprehensive treatment for adults and children’s ear, nose, and throat defects. Dr. Rodney K. Jamison also confers many additional ENT services, including hearing aid evaluations and repairs. He is currently practicing at Southwest Ear, Nose, and Throat Consultants, which has many expert professionals who have completed extensive training to deliver the highest standard of ENT care to its patients.
SPECIALTY:Deviated Septum, Smell Disorders, Swallowing and Voice Conditions, Acute Upper Respiratory Infection and Sinusitis, Hearing Loss, Facial Trauma, Tumors, Allergic Rhinitis and Reaction, Chronic Tonsillitis & Polyps
Price: New Patient Visit: $159
ERIC M. GROSS, MD, FACS
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Are Video Visits With An Ear Nose & Throat Doctor Online Covered By My Insurance
Most insurers provide coverage for video visits at the same cost as in-person visits. You can search on Zocdoc specifically for Ear, Nose & Throat Doctors in Montwood, El Paso who accept your insurance for video visits by selecting your carrier and plan from the drop-down menu at the top of the page. We recommend you check with your insurance carrier directly to confirm your coverage and out of pocket costs for video visits.
About Ent / Otolaryngology
Otolaryngologists, more commonly known as ENT doctors, are trained in the management and treatment of diseases and disorders of the ear, nose, throat, head and neck. More specifically, ENT physicians are trained in diagnosis and treatment of disorders pertaining to the sinuses, mouth and throat , voice box , and anatomies of the head and neck.
Otolaryngologists play a vital role in the treatment of hearing disorders – according to the American Academy of Otolaryngology some type of hearing loss affects approximately 10% of Americans. An ENTs training enables them to diagnose, treat and manage ear infections, equilibrium problems , tinnitus and nerve pain and disorders.
According to the AAOHNS, approximately 35 million Americans contract chronic sinusitis each yearmaking it one of the most common disorders treated by an ENT physician. These physicians specialize in the treatment of the nasal area and sinuses, allowing them to treat allergies and complications of the nasal cavity and related breathing structures.
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Southwest Ear Nose & Throat Consultants
Our team of doctors and audiologists strive together toward one goal to provide the most advanced and comprehensive ear, nose, and throat care available for all our patients.
Drs. Kevin Bright, Rodney Jamison, David Reiersen, Brian Chen, and Jacqueline Anderson are Board Certified by the American Academy of Otolaryngology Head and Neck Surgery. They have each completed extensive training, which has provided them with the skill and experience needed to deliver the highest standard of ENT care. Dr. Akomolafe provides physical therapy and vestibular rehabilitation.
Southwest ENT is an ACPA Approved Team by the American Cleft Palate-Craniofacial Association. We offer a wide range of services including hearing evaluations and hearing aid sales and service. Whether you are suffering from allergies or are looking for cancer care, assistance with sleep apnea, or sinus surgery make our office your go-to place.
Dr. Jamison & Dr. Bright are rated in the top 3 ENTs in El Paso for 2021
Dr Nanez’s Medicare Feeforservice Data
Please Note: The information displayed below is sourced from the 2014 Medicare Physician and Other Supplier National Provider Identifier Aggregate Report. It’simportant to remember that the statistics below are not inclusive of all patients treated byDr. Nanez, but only those who participate in Medicare.
- Doctor participates in Medicare?: Yes
- Number of HCPCS Codes: 73
- Number of Services: 1970
- Number of HCPCS Associated With Medical Services: 0
- Number of Medical Services: 0
- Number of Medicare Patients with Medical Services: 0
Medicare Patient Demographics
- Total Number of Medicare Patients: 436
- Average Age of Medicare Patients: 72
- Number of Patients Under Age 65: 91
- Number of Patients Age 65 to 74: 135
- Number of Patients Age 75 to 84: 126
- Number of Patients Over Age 84: 84
- Number of Female Patients : 259
- Number of Male Patients: 177
- Number of Non-Hispanic White Patients: 125
- Number of Black or African American Patients: 0
- Number of Asian Pacific Islander Patients: 0
- Number of Hispanic Patients: 295
- Number of American Indian/Alaska Native Patients: 0
- Number of Patients with Race Not Elsewhere Classified: 0
- Number of Patients with Medicare Only Entitlement: 257
- Number of Patients with Medicare & Medicaid Entitlement: 179
Medicare Patient Condition Demographics
Medicare Payments Data
Medicare Prescription Drug Data
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How Can I Find A Top
You can use Zocdoc to find Ear, Nose & Throat Doctors in Montwood, El Paso who are highly rated by other patients. These ratings are based on verified reviews submitted by real patients. Every time a patient completes an appointment booked on Zocdoc, theyre invited to review their experience. Each review must comply with Zocdocs guidelines.