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12 Apr 2016, 8:57 am
In the past, if there were Medicare audits for services billed but not performed, there would be a demand for overpayment and criminal prosecutions were rare. [read post]
17 Aug 2021, 8:30 am
” Click on the text below highlighted in color to access the complete audit report. [read post]
17 Aug 2021, 8:30 am
” Click on the text below highlighted in color to access the complete audit report. [read post]
7 Feb 2018, 11:31 am
Services from unenrolled providers can be billed as “incident to” the services of an enrolled physician, but only if the physician provided direct supervision. [read post]
7 Feb 2018, 11:31 am
Services from unenrolled providers can be billed as “incident to” the services of an enrolled physician, but only if the physician provided direct supervision. [read post]
17 Apr 2012, 12:59 pm
The organizations believe that physicians, when making potentially life-threatening diagnoses, should not be influenced by the hospital's reservations that stem from increased government scrutiny and the risk of losing payments. [read post]
24 Mar 2017, 10:21 am
When a physician, nurse or any licensed healthcare provider has a state disciplinary proceeding pending, one of the issues that arises is whether they should surrender the license. [read post]
10 Jun 2013, 7:57 pm
The policy also applies to non-physician practitioners, including nurse practitioners, physician assistants, and certified nurse specialists. [read post]
24 Mar 2017, 10:21 am
When a physician, nurse or any licensed healthcare provider has a state disciplinary proceeding pending, one of the issues that arises is whether they should surrender the license. [read post]
17 Aug 2019, 11:56 am
When we discussed this billing audit issue with our dental clients, many were surprised to learn that this practice was improper. [read post]
1 Jun 2011, 5:37 pm
Sometimes after the letter with the ULTRA report, you will be targeted for an audit. [read post]
30 Jun 2009, 10:58 am
And some medical school dropouts are better physicians than some licensed quacks. [read post]
23 Sep 2012, 8:32 pm
A Detroit-area doctor was charged and arrested on September 20, 2012 in the Eastern District of Michigan for his alleged leading role in a $40 million Medicare fraud scheme involving physician home visits and home health services. [read post]
24 Jun 2014, 1:52 pm
In the interest of providing more transparency for patients, the final rule requires pharmaceutical and medical device manufacturers and group purchasing organizations to report payments or transfers of value provided to physicians or teaching hospitals and to report physician ownership and investment interests. [read post]
8 Sep 2010, 1:39 pm
In an appendix to the report, which is dated Aug. 18, the division wrote that it has patched its systems since the audit was conducted. [read post]
16 Jan 2012, 12:45 pm
http://www.cms.gov/Recovery-Audit-Program/Downloads/DemoAppealsUpdate61410.pdf [read post]
16 Jul 2010, 6:40 am
Vito, Acting Assistant Inspector General, CMS Audits, testified before the Subcommittees on Federal Financial Management of the Senate Homeland Security and Governmental Affairs Committee on Preventing and Recovering Government Payment Errors. [read post]
14 Apr 2014, 7:54 am
The face-to-face documentation must be signed and dated by the physician. [read post]
7 Aug 2012, 1:54 pm
If you are concerned of any possible violations and would like a confidential consultation, contact a qualified health attorney familiar with medical billing and audits today.The Health Law Firm’s attorneys routinely represent physicians, medical groups, clinics, pharmacies, ambulance services companies, durable medical equipment (DME) suppliers, home health agencies, nursing homes and other healthcare providers in Medicaid and Medicare investigations, audits and… [read post]
24 Apr 2019, 9:09 am
Any physician or other entity that enters into an arrangement or scheme… which the physician or entity knows or should know has a principal purpose of assuring referrals by the physician to a particular entity which, if the physician directly made referrals to such entity, would be in violation of this section, shall be subject to a civil money penalty of not more than $100,000 (or $150,000 if such referrals are for specified non-ancillary… [read post]
