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14 May 2024, 5:00 am
Our firm has significant experience in representing physician groups and other providers in the defense of Medicare audits of vascular procedures. [read post]
8 May 2024, 9:01 pm
According to information from physicians, another three people ate smoked trout from this firm. [read post]
6 May 2024, 10:00 pm
Compliance Legal Audit Checklist (Healthcare Organization) Help your healthcare provider clients monitor their compliance with various state and federal laws in a variety of topic areas and prevent conflicts of interest. [read post]
30 Mar 2024, 6:00 am
SEE HOW Hybrid Telehealth Tech Allows Docs to Follow EMTs in the Field The tech allows physicians to virtually watch and listen over an EMT’s shoulder as they administer treatment to a sick patient. [read post]
30 Mar 2024, 6:00 am
SEE HOW Hybrid Telehealth Tech Allows Docs to Follow EMTs in the Field The tech allows physicians to virtually watch and listen over an EMT’s shoulder as they administer treatment to a sick patient. [read post]
25 Mar 2024, 10:00 pm
Read now » Related Content Contract Research Organization Agreements Instruct your healthcare organization clients on best practices for negotiating and drafting agreements between drug or medical device companies (sponsors) and contract research organizations (CROs) to design, monitor, and audit clinical trials. [read post]
25 Mar 2024, 6:38 am
Due to the widespread use of the Change Healthcare tools and systems as a financial clearinghouse for connecting pharmacy benefit managers, health care providers, and other key plays and health plans throughout the health care and health benefits industry, the attack has and continues to disrupt key billing, care-authorization, payment and other transactions between health care payers and pharmacies, physicians and other health care providers and health care payers and their… [read post]
17 Mar 2024, 5:42 pm
Among other things: Due to the widespread use of the Change Healthcare tools and systems as a financial clearinghouse for connecting pharmacy benefit managers, health care providers, and other key plays and health plans throughout the health care and health benefits industry, the attack has and continues to disrupt key billing, care-authorization, payment and other transactions between health care payers and pharmacies, physicians and other health care providers and health care… [read post]
14 Mar 2024, 9:03 pm
Teoderescu and Makridis argued that a combination of regulations and standards requiring regular systems auditing is appropriate to ensure fairness in machine learning. [read post]
13 Mar 2024, 10:43 am
Entities That May Be Impacted Hospitals, physicians, pharmacists, and other healthcare providers may be impacted by this ransomware attack. [read post]
28 Feb 2024, 6:00 am
In the instant matter, although Claimant told the examining physician that he retired in 2014, Claimant testified that he has continued to work in a family flooring business and that he had another job conducting movie audits. [read post]
28 Feb 2024, 6:00 am
In the instant matter, although Claimant told the examining physician that he retired in 2014, Claimant testified that he has continued to work in a family flooring business and that he had another job conducting movie audits. [read post]
23 Feb 2024, 5:00 am
With the rise of artificial intelligence (AI), many providers have expressed concern that MAOs are using AI tools to review claims, make coverage determinations, deny claims, and conduct audits with little to no human oversight. [read post]
13 Feb 2024, 3:15 am
There, the insurance company had shifted its business practice of underwriting professional liability insurance policies for smaller, lower risk physician groups in favor of underwriting policies for larger, riskier physician groups and hospitals, which created difficulty in calculating the company’s required loss reserves. [read post]
5 Feb 2024, 9:11 am
Due to ICE’s improper authorization, the OIG audit could not verify whether the surgeries were medically necessary. [read post]
25 Jan 2024, 5:31 am
Can a Physician Prescribe Chelation Therapy for an Off-Label Use that is Not FDA Approved for a Particular Use? [read post]
19 Jan 2024, 7:09 am
It did so after an audit by the U.S. [read post]
8 Jan 2024, 10:00 am
A prior audit, issued in April 2022, found that the Department of Health’s (DOH) eMedNY claims processing system edits designed to prevent payments for services with an inactive OPRA provider were flawed, and Medicaid made $965 million in payments for 2.3 million OPRA services by physicians and professionals who were no longer actively enrolled in Medicaid on the service date. [read post]
8 Jan 2024, 10:00 am
A prior audit, issued in April 2022, found that the Department of Health’s (DOH) eMedNY claims processing system edits designed to prevent payments for services with an inactive OPRA provider were flawed, and Medicaid made $965 million in payments for 2.3 million OPRA services by physicians and professionals who were no longer actively enrolled in Medicaid on the service date. [read post]
2 Jan 2024, 10:01 am
A Florida appellate court found error in a judge of compensation court’s order requiring a claimant to pay one-half of the cancellation fee charged by the IME when the claimant appeared for the exam accompanied by a videographer and the physician refused to move forward with the examination [see Baptiste v. [read post]
