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15 Jul 2016, 8:43 am
The buprenorphine rule has been finalized, which allows physicians who have waivers to prescribe buprenorphine products (e.g., Suboxone) for up to 100 patients for 1 year or more to obtain a waiver to treat up to 275 patients. [read post]
4 Mar 2009, 8:59 pm
Limits for physician claims will vary by the size of the practice, with larger groups exceeding sixteen individuals having to submit a maximum fifty medical records per forty-five days. [read post]
20 May 2013, 1:07 pm
If you or your healthcare entity need assistance in developing an effective compliance plan, or assistance in Medicare, Medicaid or third party payor audit defense, please contact our experienced healthcare attorneys at 248-544-0888. [read post]
14 Jan 2015, 12:18 pm
CMS has adjusted the first quarter 2015 Medicare physician fee schedule conversion factor, and it has made announcements regarding provider timeframes for responding to pre-payment review documentation requests and recovery audit contracts. [read post]
10 Oct 2013, 4:07 am
In addition to this study, the OIG notes that it is also conducting audits of polysomnography claims for selected regions to determine whether claims were appropriate and paid accurately. [read post]
17 Dec 2014, 5:48 am
For instance, the report: expresses concerns about a CMS proposal to eliminate critical access hospital status for certain rural facilities; requests CMS to report on the impact of competitive bidding on treatment patterns of enteral nutrition patients residing in LTC facilities; directs CMS to review billing rules regarding implantable pain pump drugs; requests that CMS develop proposals to encourage short-cycle dispensing of outpatient prescription drugs in LTC facilities; directs CMS to educate… [read post]
5 Mar 2013, 6:27 am
The fines the government collects will help to fund the audit process. [read post]
15 Jun 2019, 9:00 am
Billing Practices by Non-Participating Physicians. [read post]
22 Sep 2013, 3:30 am
All four prior audit recommendations have been partially implemented. [read post]
15 May 2008, 7:00 am
On Tuesday, May 13th, the Texas Comptroller of Public Accounts announced an important policy change to the total revenue calculation of health care providers, such as physicians, and health care institutions, such as hospitals, for purposes of the revised franchise tax, or “Margin Tax. [read post]
23 May 2012, 6:00 am
This decision should further support the employer’s right to have cure expenses audited and paid at a reduced rate. [read post]
8 Oct 2019, 9:00 am
This exception applies to physicians who are independent contractors and not employees. [read post]
21 Nov 2016, 4:05 am
The HHS Office of Inspector General (OIG) has issued its FY 2017 Work Plan, which lays out the OIG’s current audit, evaluation, and other legal and investigative priorities. [read post]
5 Jun 2013, 12:58 pm
If not, the physician should be able to justify them. [read post]
9 Mar 2015, 11:53 am
Remarkably, the incident wasn’t reported by the facility as a large data breach, but by the physician. [read post]
19 Nov 2014, 12:00 pm
In 2013, the cost of these services consisted of $84,584 for insurance coverage, $11,086 for legal services, $10,675 for physician services, $7,800 for investment management services, $5,000 for external audit services and $650 for engineering services. [read post]
30 Aug 2010, 9:32 am
Physicians must already contend with audits by ZPICs, PSCs, Medicaid Integrity Contractors (MICs), Medicaid Fraud Control Unit (MFCU) investigators and Comprehensive Error Rate Testing (CERT) contractors. [read post]
19 Apr 2016, 8:01 am
Quantitative urine drug screening ordered by physicians or other health care providers (such as drug treatment centers) and toxicology laboratories or the treatment and monitoring of patients have come under increased scrutiny and audits the past three years. [read post]
24 Mar 2016, 11:31 am
Some physicians think "Copper T-380" and do not focus on the licensee or manufacturer. [read post]
26 Nov 2014, 9:27 am
Attorney’s Office civil division and physician Dr. [read post]
