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29 Apr 2022, 11:10 am
As these decisions are likely to significantly impact the policies, practices, recordkeeping, breach investigation and other obligations that Covered Entities would need to meet in the event of an audit, breach or other investigation or enforcement, timely, thoughtful input from all Covered Entities and affected stakeholders is important. [read post]
9 Mar 2009, 12:04 am
Consequently, the pharmacy faced an audit that resulted in an overpayment and was initially suspected of being involved in the fraud and abuse.Second, a physician faxed over prescriptions to a pharmacy. [read post]
23 Apr 2013, 5:40 am
The changes would clarify claim information requirements related to diagnosis codes for physician and physician assistant services, hospital services, and podiatry services. [read post]
30 Mar 2013, 9:48 am
On April 17, the training will be for Medical, Inpatient/Outpatient, HAP, and CCS/GHPP providers.In order to be compliant and not have audits or accusations of fraudulent billing, keep records of the training and be vigilant about having your staff and outside billers staying on top of these issues. [read post]
25 Jan 2017, 10:13 pm
Use or administration of any type or amount of marijuana 132 not specified on the qualifying patient’s physician 133 certification. 134 5.3. [read post]
25 Jan 2017, 10:13 pm
Use or administration of any type or amount of marijuana 132 not specified on the qualifying patient’s physician 133 certification. 134 5.3. [read post]
25 Jan 2011, 4:24 pm
In some cases, the physician reviewer sends a cover letter to the IME physician to establish appropriate parameters and ask pointed medical questions for the physician to consider during the course of the IME. ? [read post]
14 Dec 2016, 2:01 am
The defense team can act to audit and review the practice and prepare for any potential charges or government action. [read post]
18 Jul 2012, 6:50 am
To learn more about preparing for Medicare audits, click here.Contact Health Law Attorneys Experienced with Medicare Audits and False Act Claims Cases.The Health Law Firm represents ambulance companies, emergency transport services, physicians, medical practices, pharmacists, pharmacies, home health agencies, nursing facilities, hospitals, and other health provider in investigations, regulatory matters, licensing issues, litigation, inspections and audits… [read post]
15 Dec 2014, 7:56 am
For FY 2014, the OIG reported recoveries of over $4.9 billion, consisting of nearly $834.7 million in audit receivables and about $4.1 billion in investigative receivables. [read post]
21 Sep 2012, 11:56 am
(collectively "MEEI") have agreed to pay $1.5 million to settle potential violations of the HIPAA Security Rule following the theft of a physician’s unencrypted, but protected, laptop, providing additional evidence that: (1) OCR will likely view any breach notification as an opportunity to conduct a de facto audit of an entity’s general HIPAA compliance; and (2) encryption of all portable devices containing electronic protected health information… [read post]
23 Oct 2023, 7:14 am
Develop affordable compliance steps like training webinars and audits focused on high-risk areas. [read post]
29 Jul 2013, 2:26 pm
If you need assistance in defending a Medicare audit, or if you need help creating an effective compliance plan for your practice, please contact an experienced health care attorney at 248-544-0888. [read post]
28 Mar 2014, 10:30 am
In fact, on the CMS Website, a handout for physicians states, “Budget for time and costs related to ICD-10 implementation, including expenses for system changes, resource materials, and training. [read post]
1 Dec 2014, 5:01 am
Compliance with federal and state laws by health care providers (physicians, physician assistants, and advanced nurse practitioners) is critical. [read post]
25 Mar 2014, 6:44 am
First, Congress should direct the HHS Secretary to reduce or eliminate differences in payment rates between outpatient departments and physician offices for selected ambulatory payment classifications. [read post]
28 Apr 2013, 8:51 pm
These guidelines address auditing surgeons who perform procedures, using special credentialing procedures before a physician performs surgery, and creating special hospital review boards to review cases and complications. [read post]
6 May 2013, 10:31 am
In most cases, we will accept the assignment of your insurance so that you do not have to worry about legal bills while your case is going on.Contact Experienced Health Law Attorneys.The Health Law Firm routinely represents pharmacists, pharmacies, physicians, nurses and other health providers in investigations, regulatory matters, licensing issues, litigation, inspections and audits involving the DEA, Department of Health (DOH) and other law enforcement agencies. [read post]
26 Sep 2014, 7:26 am
Department of Labor is actively auditing plans for compliance and can bring a civil action against an employer to enforce these requirements. [read post]
17 Dec 2014, 7:38 am
However, even if currently outside the scope of the pilot program, providers should be alerted to CMS's recent scrutiny of ambulance transport services and may be a sign that providers could be targeted for Medicare audits in the future. [read post]
