Search for: "Physicians Auditing "
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10 Apr 2014, 9:10 am
Many physicians simply do not want their names publicized. [read post]
19 Sep 2012, 7:03 am
The Health Law Firm’s attorneys routinely represent physicians, medical groups, clinics, pharmacies, assisted living facilities (AFLs), home health care agencies, nursing homes, group homes and other healthcare providers in Medicaid and Medicare investigations, audits and recovery actions. [read post]
14 Jul 2010, 7:08 am
“One example of where legal and audit teams can cooperate is in financial... [read post]
18 Feb 2013, 6:13 am
The Obama Administration has released reports on the Health Care Fraud and Abuse Control Program and Medicare and Medicaid recovery auditing. [read post]
9 Nov 2018, 1:20 pm
Physicians and other healthcare providers face a higher risk of being audited. [read post]
11 May 2016, 5:30 am
The Audit and Enforcement Unit of California’s Division of Workers Compensation (DWC) will be noticing more target audits in 2016 to address utilization review (UR) complaints. [read post]
21 Dec 2012, 8:08 am
“Meningitis Lawsuits Target Physicians. [read post]
20 May 2015, 1:28 pm
Lastly, the Medicare Audit Improvement Act would implement statutory language that limits a RAC's scope of review for inpatient hospital claims to only the information that the admitting physician had at the time the admission decision was made. [read post]
11 May 2015, 8:29 am
The latest audits are not just aimed at dispensaries but at medical marijuana physicians. [read post]
24 Jul 2012, 5:54 am
These patients are finding it increasingly difficult to even locate a physician to treat them. [read post]
15 Dec 2014, 1:21 pm
For instance: The House Ways and Means Health Subcommittee chairman and ranking member have released a bipartisan bill including a variety of Medicare fraud/abuse provisions, covering such issues as recovery audit contractors, prevention of Medicare Part D prescription drug abuse, elimination of civil monetary penalties for inducements to physicians to limit services that are not medically necessary, and others. [read post]
29 Jan 2015, 12:39 pm
While the OIG letter cites legal authorities supporting its policies, the OIG did announce that given the “dynamic landscape” of Medicare inpatient short-stay policy, it has voluntarily suspended reviews of inpatient short-stay claims after October 1, 2013, consistent with the moratorium placed on the recovery audit contractors. [read post]
23 Oct 2013, 8:59 am
These audits typically focus on broad technical failures, such as a lack of specified patient information (such as body mass index) in the physician's examination notes, failure to have a registered technician attend the test, or failure to have a boarded sleep physician interpret the test (even though the physician might be a staff member of the accredited lab where the test took place). [read post]
29 Jun 2010, 5:56 am
Specifically, we have been involved in defending numerous Medicare audits as a result of the Medicare Recovery Audit Contractor Program (RACs), Medicare Program Safeguard Contractor/Zone Program Integrity Contractor audits (PSCs or ZPICs), Medicaid audits and other payor audits. [read post]
1 Oct 2010, 12:06 pm
Specific areas of interest for HHS-OIG’s Office of Audit Services include: (1) Patient plans of Care, (2) Physician supervision and (3) Certification requirements. [read post]
7 Oct 2017, 7:00 am
DiNapoli issued the following audits and examinations:Department of Health: Questionable Payments for Practitioner Services and Pharmacy Claims Pertaining to a Selected Physician (Follow-Up) (2017-F-2)An initial audit issued in September 2015 found significant issues with medical records provided by a physician to support his Medicaid claims. [read post]
18 Apr 2019, 2:29 pm
Physicians must undergo years of specialized schooling before they are permitted to practice medicine. [read post]
6 Aug 2013, 7:41 am
In his case, the fact that the physician names listed on the superbills were not the patients' referring physicians was one of the facts that shifted this case from a billing error case to a fraud case.Posted by Tracy Green, an attorney specializing in representing and defending health care professionals in health care fraud, Medicare fraud and Medi-Cal fraud allegations, audits, investigations and charges. [read post]
6 Aug 2013, 10:24 am
If adopted, the bill would prohibit, for example, a physician ordering advanced imaging services for a Medicare beneficiary if the services are performed in the ordering physician’s offices. [read post]
19 Apr 2011, 8:49 am
They advise physicians to regularly perform “electronic self-audits” of their online identity and create “dual citizenship” with a distinct professional profile intended to come up early on a search engine query. [read post]
