Search for: "Physicians Auditing "
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30 Dec 2019, 12:45 pm
What this means for you: All businesses using independent contractors should conduct audits and review written independent contracts under the new standards to ensure that workers are properly classified. [read post]
28 Dec 2019, 10:14 am
Because part of their role is determining whether jail staff followed physician's orders, this would keep them from providing meaningful oversight in such cases. [read post]
23 Dec 2019, 2:00 pm
Medicare, Medicaid, and Public Health Extenders The Act extends through May 22, 2020 a number of Medicare, Medicaid, and public health programs and policies, including the following: The work geographic index floor under the Medicare physician fee schedule. [read post]
20 Dec 2019, 11:37 am
How Risk Adjustment is Vulnerable to Fraud Here is how a “risk adjustment” fraud scheme typically works: In order to take advantage of the federal government’s promise to pay MAOs more than the usual capitated monthly rate for patients who are particularly sick or fall into certain high-risk categories, MAOs hire vendors to audit and review physician charts to capture any diagnoses not reported by the physician but meeting certain minimum standards and… [read post]
18 Dec 2019, 10:03 am
The complaint charges that along with illegally filling the expired prescriptions, Omnicare knowingly transmitted false information to these federal healthcare programs that made it appear that drug dispensations were supported by current, valid prescriptions from physicians when in fact they were not. [read post]
16 Dec 2019, 3:13 pm
Because of inadequate audit controls, DADS was unable to determine how many unauthorized persons accessed individuals’ ePHI. [read post]
16 Dec 2019, 3:34 am
The evidence included a physician’s signature that had been cut out and taped to a blank referral form, as well as a lack of progress notes to support services billed to Medicaid. [read post]
10 Dec 2019, 4:02 pm
The deceleration in 2018 was driven by slower growth in the use and intensity of physician and clinical services, as physician and clinical price growth accelerated in 2018. [read post]
8 Dec 2019, 9:00 am
Other MSO services including – auditing, payroll, sales and marketing, disaster management, quality assurance, financial management, and many other tasks and services. [read post]
7 Dec 2019, 9:54 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, contractual and other… [read post]
22 Nov 2019, 10:16 am
” OIG’s discovery in its recent audit report of significant improper billing by physicians for CCM services is alarming. [read post]
22 Oct 2019, 6:30 am
However, rather than having a specific group of physicians available and having to seek approval for treatments, the injured party is free to see any physician of her choosing and decide for herself whether to undergo certain medical treatments. [read post]
18 Oct 2019, 11:19 am
In addition, the employer will be subject to another audit within 12 months. [read post]
16 Oct 2019, 2:33 pm
Every Dental Practice Must Develop and Implement an Effective Compliance Program: As you will recall, the Department of Health & Human Services (HHS), Office of Inspector General (OIG), issued voluntary Compliance Guidance for Individual and Small Group Physician Practices” almost 20 years ago, in 2000.[6] As the seven element compliance guidance reflects, the term “physician” is defined to include “a doctor of dental surgery or dental… [read post]
8 Oct 2019, 9:00 am
This exception applies to physicians who are independent contractors and not employees. [read post]
30 Sep 2019, 2:08 pm
” If you have not already done so, your home health agency needs to periodically conduct internal audits and reviews to better ensure that physicians, nurse practitioners, therapists and staff [read post]
25 Sep 2019, 5:52 am
The AG’s Office alleges that from April 2010 through July 2016, Guardian failed to obtain and/or maintain plans of care authorized by a physician for certain patients. [read post]
24 Sep 2019, 10:00 am
., Board Certified by The Florida Bar in Health Law We have gotten calls from healthcare professionals, including physicians, dentists, pharmacists, mental health counselors, and assisted living facilities (ALFs) who have been placed on prepayment review after failing to challenge Medicare or Medicaid audit results. [read post]
18 Sep 2019, 2:08 pm
Medicare, Medicaid and CHIP Enrollment Revocation and Denial Authorities Have Expanded. [read post]
18 Sep 2019, 2:08 pm
Medicare, Medicaid and CHIP Enrollment Revocation and Denial Authorities Have Expanded. [read post]
