Search for: "Physicians Auditing "
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20 May 2019, 2:13 am
(Act on the Protection of Children and Youth against Sex Offenses in Korea, and the Act on Special Cases Concerning the Punishment, etc. in Korea);Act by a physician or medical personnel of acquiring any economic benefit from a pharmaceutical company in exchange for the use and/or prescription of its product(s), and the act by a non-medical personnel of establishing a medical institution (Korean Medical Service Act);Acquiring any benefit by obtaining permission for the “conversion of… [read post]
9 May 2019, 8:06 am
She regularly helps employer and other health benefit plan sponsors and vendors, health industry, insurers, health IT, life sciences and other health and insurance industry clients design, document and enforce plans, practices, policies, systems and solutions; manage regulatory, contractual and other legal and operational compliance; vendors and suppliers; deal with Medicare, Medicaid, CHIP, Medicare/Medicaid Advantage, ERISA, state insurance law and other private payer rules and requirements;… [read post]
8 May 2019, 12:44 pm
She regularly helps employer and other health benefit plan sponsors and vendors, health industry, insurers, health IT, life sciences and other health and insurance industry clients design, document and enforce plans, practices, policies, systems and solutions; manage regulatory, contractual and other legal and operational compliance; vendors and suppliers; deal with Medicare, Medicaid, CHIP, Medicare/Medicaid Advantage, ERISA, state insurance law and other private payer rules and requirements;… [read post]
6 May 2019, 5:44 pm
Health plans, their sponsoring employers and unions, insurers, fiduciaries, administrators, insurers and other service providers should learn from the $3 million lesson a Franklin, Tennessee-based diagnostic medical imaging services provider is learning about the heavy penalties a health plan, health care provider, health care clearinghouse or business associate (“Covered Entity”) risks if a post-data breach investigation by the U.S. [read post]
1 May 2019, 4:39 am
She regularly helps employer and other health benefit plan sponsors and vendors, health industry, insurers, health IT, life sciences and other health and insurance industry clients design, document and enforce plans, practices, policies, systems and solutions; manage regulatory, contractual and other legal and operational compliance; vendors and suppliers; deal with Medicare, Medicaid, CHIP, Medicare/Medicaid Advantage, ERISA, state insurance law and other private payer rules and requirements;… [read post]
30 Apr 2019, 10:23 am
Health plans must deliver electronic protected health information (“ePHI”) to electronic applications or software (“apps”) used by plan members, and are responsible under the Health Insurance Portability & Accountability Act (“HIPAA”) Privacy and Security Rules for the security of electronic protected health information (“ePHI”) on apps they sponsor or provide, according to new guidance from the Department of Health & Human Services… [read post]
29 Apr 2019, 7:21 am
A Wisconsin employer did not violate the National Labor Relations Act (“NLRA”) by ceasing to deduct union dues from employees’ paychecks for remittance to their certified union in response to Wisconsin’s enactment of a right-to-work law that curtailed dues checkoff, or communicating with employees about this action according the National Labor Relations Board ruling in Metalcraft of Mayville, Inc. [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]
19 Apr 2019, 10:10 am
It’s only a ½ hour show – talks about the recent IG audit too: 61% of the time when dealing with your student loans, the federal student loan servicers screw up. [read post]
18 Apr 2019, 2:29 pm
Physicians must undergo years of specialized schooling before they are permitted to practice medicine. [read post]
15 Apr 2019, 9:00 am
In the first part of the series on developing a voluntary Office of Inspector General compliance plan for solo and small medical practices, we discussed how to conduct internal monitoring, auditing and how to implement quality compliance practice standards. [read post]
11 Apr 2019, 4:21 am
Patients may delay or undermine their recovery from a new condition by self-treating a new condition by taking previously physician prescribed antibiotics or other medications ineffective or contraindicated for the new condition the patient seeks to treat. [read post]
8 Apr 2019, 9:00 am
Audit rights. [read post]
27 Mar 2019, 8:13 am
She regularly helps employer and other health benefit plan sponsors and vendors, health industry, insurers, health IT, life sciences and other health and insurance industry clients design, document and enforce plans, practices, policies, systems and solutions; manage regulatory, contractual and other legal and operational compliance; vendors and suppliers; deal with Medicare, Medicaid, CHIP, Medicare/Medicaid Advantage, ERISA, state insurance law and other private payer rules and requirements;… [read post]
27 Mar 2019, 6:24 am
Stamer has continuously worked with these and other management clients to design, implement, document, administer and defend hiring, performance management, compensation, promotion, demotion, discipline, reduction in force and other workforce, employee benefit, insurance and risk management, health and safety, and other programs, products and solutions, and practices; establish and administer compliance and risk management policies; comply with requirements, investigate and respond to government,… [read post]
26 Mar 2019, 10:24 am
Stamer has continuously worked with these and other management clients to design, implement, document, administer and defend hiring, performance management, compensation, promotion, demotion, discipline, FMLA and other leave, reduction in force and other workforce, employee benefit, insurance and risk management, health and safety, and other programs, products and solutions, and practices; establish and administer compliance and risk management policies; comply with requirements, investigate and… [read post]
25 Mar 2019, 1:09 pm
One of those questions specifically requires OIG to explain whether it has “conducted a detailed review and audit of the CMS sunshine database to determine whether PODs are reporting physician ownership or investment interest. [read post]
20 Mar 2019, 7:24 am
Stamer has continuously worked with these and other management clients to design, implement, document, administer and defend hiring, performance management, compensation, promotion, demotion, discipline, FMLA and other leave, reduction in force and other workforce, employee benefit, insurance and risk management, health and safety, and other programs, products and solutions, and practices; establish and administer compliance and risk management policies; comply with requirements, investigate and… [read post]
19 Mar 2019, 4:28 pm
Stamer has continuously worked with these and other management clients to design, implement, document, administer and defend hiring, performance management, compensation, promotion, demotion, discipline, FMLA and other leave, reduction in force and other workforce, employee benefit, insurance and risk management, health and safety, and other programs, products and solutions, and practices; establish and administer compliance and risk management policies; comply with requirements, investigate and… [read post]
19 Mar 2019, 3:25 pm
As a part of this process, businesses and their leaders generally should plan to: Review subcontractor, temporary, lease employee, independent contractor and other outsourced labor and services relationship for potential risk of worker reclassification and tighten contracting and other procedures; Audit the position of each employee currently classified as exempt to assess its continued sustainability and to develop documentation justifying that characterization; Audit… [read post]
