Search for: "Physicians Auditing "
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27 Mar 2020, 8:39 am
To the extent the 1135 waiver requires an established relationship, HHS will not conduct audits to ensure that such a prior relationship existed for claims submitted during this public health emergency. [read post]
26 Mar 2020, 2:30 pm
AWO has provided a central repository of links to various resources on its site, including a template letter to identify marine towing employees as essential critical infrastructure personnel– which can be reproduced on company letterhead, and the RCP Standards Board memorandum regarding internal audit extension requests due to COVID-19. [read post]
26 Mar 2020, 2:30 pm
AWO has provided a central repository of links to various resources on its site, including a template letter to identify marine towing employees as essential critical infrastructure personnel– which can be reproduced on company letterhead, and the RCP Standards Board memorandum regarding internal audit extension requests due to COVID-19. [read post]
26 Mar 2020, 7:09 am
AWO has provided a central repository of links to various resources on its site, including a template letter to identify marine towing employees as essential critical infrastructure personnel– which can be reproduced on company letterhead, and the RCP Standards Board memorandum regarding internal audit extension requests due to COVID-19. [read post]
23 Mar 2020, 12:29 pm
Late last Wednesday, March 16, Reps. [read post]
22 Mar 2020, 1:21 pm
In addition, separate from these virtual check-in services, captured video or images can be sent to a physician (HCPCS code G2010). [read post]
22 Mar 2020, 1:21 pm
In addition, separate from these virtual check-in services, captured video or images can be sent to a physician (HCPCS code G2010). [read post]
19 Mar 2020, 12:11 pm
In addition, separate from these virtual check-in services, captured video or images can be sent to a physician (HCPCS code G2010). [read post]
6 Mar 2020, 3:44 pm
Just weeks earlier, on January 27, 2020, DOJ had announced that EHR vendor Practice Fusion had agreed to pay $145 million and admitted that it had used its EHR software to influence physician prescribing of opioids after soliciting and receiving kickbacks from the involved pharmaceutical companies. [read post]
3 Mar 2020, 11:07 am
Has the attorney recently represented physicians and other health care providers in responding to a Civil Investigative Demand? [read post]
2 Mar 2020, 11:04 am
Today (March 2, 2020) is the deadline for employers and other health benefit program sponsors, insurers, plan administrators and fiduciaries, health care providers, PBMs and other interested persons to comment on proposed federal rule change that would require insured health plans to count drug rebates and price concessions retained by pharmacy benefit managers (PBMs) as administrative expenses for purposes of determining if the issuing insurer is required to rebate premiums under the medical loss… [read post]
2 Mar 2020, 7:29 am
This involvement encompasses helping health care systems and organizations, group and individual health care providers, health plans and insurers, health IT, life sciences and other health industry clients prevent, investigate, manage and resolve sexual assault, abuse, harassment and other organizational, provider and employee misconduct and other performance and behavior; manage Section 1557, Civil Rights Act and other discrimination and accommodation, and other regulatory,… [read post]
25 Feb 2020, 4:17 pm
Her experience encompasses leading and supporting the development and defense of innovative new policies, programs, practices and solutions; advising and representing clients on routine plan establishment, plan documentation and contract drafting and review, administration, change and other compliance and operations; crisis prevention and response, compliance and risk management audits and investigations, enforcement actions and other dealings with the US Congress, Departments of Labor,… [read post]
25 Feb 2020, 4:02 pm
Her experience encompasses leading and supporting the development and defense of innovative new policies, programs, practices and solutions; advising and representing clients on routine plan establishment, plan documentation and contract drafting and review, administration, change and other compliance and operations; crisis prevention and response, compliance and risk management audits and investigations, enforcement actions and other dealings with the US Congress, Departments of Labor,… [read post]
25 Feb 2020, 3:00 pm
The budget also would exclude physician-owned distributors (PODs) from the Stark indirect compensation exception if physician owners generate more than 40% of the POD’s business. [read post]
17 Feb 2020, 9:01 am
Telemedicine Audits of Referring Physicians are Increasing (February 17, 2020): Over the last few months, we have seen a significant increase in the number of telemedicine audits and investigations by law enforcement and program integrity contractors. [read post]
3 Feb 2020, 8:21 am
Her experience encompasses leading and supporting the development and defense of innovative new policies, programs, practices and solutions; advising and representing clients on routine plan establishment, plan documentation and contract drafting and review, administration, change and other compliance and operations; crisis prevention and response, compliance and risk management audits and investigations, enforcement actions and other dealings with the US Congress, Departments of Labor,… [read post]
30 Jan 2020, 11:20 am
KPMG LLP, in which a panel held that junior audit associates who performed entry-level accounting tasks under close supervision were properly classified as exempt professional employees. [read post]
28 Jan 2020, 9:58 pm
Health plans and their health plan records providers and other business associates should review and update their existing policies and practices concerning providing and charging individuals for access to protected health information in response to modifications in the Department of Health & Human Service (“HHS”) Office of Civil Rights (“OCR”) rules implementing the Health Insurance Portability & Accountability Act (“HIPAA”) requirements regarding… [read post]
1 Jan 2020, 10:35 am
The Labor Department followed up on previous warnings that health plan fiduciaries duties include a fiduciary duty to protect health plan data by adding HIPAA compliance to certain health plan audits. [read post]
