Search for: "Physicians Auditing "
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16 Mar 2012, 11:43 am
(Note: the revised ADR limits outlined below do not apply to physicians and suppliers.) [read post]
4 Jun 2013, 2:28 pm
Paveh may have come to the government’s attention via an audit to be performed by OIG. [read post]
12 Apr 2018, 8:48 am
In an effort to define peer groups for general comparison purposes, DMEPOS suppliers and physicians / non-physicians were assigned to a specialty peer group, based on their assigned Medicare Specialty Code and whether or not the provider / supplier was likely to have orthotist training. [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]
3 Nov 2015, 11:40 am
Department of Health and Human Services Office of Inspector General has released their Work Plan for Fiscal Year 2016 The HHS-OIG expects significant recoveries in audit receivables, investigative receivables and non-HHS investigative receivables resulting from their Work Plan, as well as tremendous savings in legislative, regulatory, and/or administrative actions. [read post]
7 Apr 2010, 7:44 am
On Monday, April 6, 2010, CMS updated its RAC website by announcing a series of nationwide calls as detailed below: April 28, 2010, 1:00pm - 2:30pm EST: Nationwide RAC 101 Call, 1-877-251-0301 May 4, 2010, 1:00pm - 2:30pm EST: Nationwide RAC 101 Call for Home Health and Hospice Providers, 1-877-251-0301 May 5, 2010, 1:00pm - 2:30pm EST: Nationwide RAC 101 Call for DMEPOS, 1-877-251-0301 May 12, 2010, 1:00pm - 2:30pm EST: Nationwide RAC 101 Call for Physicians, 1-877-251-0301 … [read post]
6 Nov 2014, 3:28 pm
Budding physicians at the University of Toledo are learning valuable surgical and emergency skills from pigs, a practice that has come under scrutiny by The Physicians Committee for Responsible Medicine, a DC-based animal activist group. [read post]
9 Jan 2019, 1:39 pm
The former part-owner and supervising physician at a physician house call company was also sentenced to 42 months in prison for his role in the fraud. [read post]
3 Feb 2016, 10:03 am
The documentation requirements include (1) a physician order at the time of admission for the resident’s immediate care (2) a comprehensive assessment, and (3) a comprehensive plan of care prepared by an interdisciplinary team that includes the attending physician, a registered nurse, and other appropriate staff. [read post]
11 Mar 2014, 9:06 am
Most notably, the bill would require the Secretary of the Department of Health and Human Services to consult with interested stakeholders - such as hospitals, physicians, Medicare administrative contractors, recovery audit contractors, and other parties determined appropriate by the Secretary - to determine the criteria for short inpatient stays. [read post]
21 Oct 2013, 2:13 pm
The OIG analyzed Medicare claims from hospital outpatient departments, as well as non-hospital providers such as independent diagnostic testing facilities and physician-owned sleep laboratories, starting in 2011. [read post]
22 Jul 2022, 1:12 pm
It is also recommended that dental professionals either conduct periodic audits or hire an outside company to conduct the audits. [read post]
25 Sep 2020, 11:41 am
A number of physicians, nurse practitioners and physician assistants have taken advantage of the chance to participate in the gig economy, working virtually and providing telemedicine services for patients. [read post]
2 Oct 2009, 1:03 pm
The OIG's Work Plan "describes the specific audits and evaluations that [the OIG has] underway or plan[s] to initiate in the FY ahead....The Work Plan also provides focus areas for [the OIG's] investigative, enforcement, and compliance activities. [read post]
18 Nov 2010, 8:19 pm
However, as reported by Fox News, his life fell apart after 2004 when investigators conducting an audit began looking at five $1.5 million contracts between Dr. [read post]
12 Jan 2011, 12:22 pm
The city routinely reauthorized the care without obtaining the required assessment from a physician, according to the lawsuit which was filed after a whistleblower complaint. [read post]
27 Jul 2014, 11:13 pm
A Senate committee report calls for Medicare audit and local coverage policy reforms. [read post]
25 Jan 2009, 8:41 pm
Please contact me if you have questions about the DFRR, if you require assistance in conducting a Stark Law compliance audit, or if you have general questions about government investigations or compliance with Federal and state physician self-referral laws. [read post]
19 Feb 2015, 12:13 pm
Polglase, MD, JD, CHCQM is an emergency physician and attorney with extensive experience in physician practice management, hospital utilization and revenue management and post-payment audits. [read post]
16 Feb 2011, 5:26 am
But given the audit and draft budgets released recently, clearly the tables have now turned. [read post]
