Search for: "Physicians Auditing "
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3 Jan 2016, 5:47 pm
However, as an attorney defending physicians, I know that if the individual is born outside the United States, there is another bar to jump in defending the case. [read post]
16 Apr 2010, 3:08 pm
”This statement refers to the RAC, the Recovery Audit Commission, which are hired mercenaries that go into physicians’ offices looking for Medicare Fraud and have unrestricted power to fine any physician they find who has committed fraud, whether knowingly and unknowingly. [read post]
25 Sep 2019, 5:52 am
The AG’s Office alleges that from April 2010 through July 2016, Guardian failed to obtain and/or maintain plans of care authorized by a physician for certain patients. [read post]
19 Oct 2020, 10:14 am
Not only are Medicare audits resuming, but private payors have also resumed audits. [read post]
15 Feb 2010, 8:17 am
For those who bill private insurance companies and the government, you will always be under scrutiny and subject to audit and review. [read post]
22 Jan 2018, 9:17 am
Have a Practitioner Statement of Need signed by a practitioner (physician, advanced practice nurse, or physician assistant) who has examined you in the last 12 months. [read post]
22 Jun 2011, 7:56 am
In addition, to be effective, auditing should be conducted at least annually and should be done under the supervision of legal counsel to preserve attorney client privilege of audit results. [read post]
7 Jun 2014, 7:45 am
Of the eight prior audit recommendations, one was implemented and seven were partially implemented. [read post]
7 Jan 2016, 4:28 am
The Audit Unit is funded through those assessments and deposits.The penalty payment in the Romano case is simply a pure windfall to the state. [read post]
28 Jan 2015, 4:34 am
. - Lawmaker Seeking Mandatory Premium Audits of EmployersUtah - Bill would Allow WCF Policyholders to Elect Board Members, Increase PayN.D. - State Lawmakers Consider Bill to Provide Benefits for PTSD to First RespondersSome of this activity is the product of previously passed legislation. [read post]
7 May 2009, 10:41 am
Is the risk of auditing too low? [read post]
16 Aug 2012, 8:47 am
Typical ones include: special audits of high-fraud geographic areas, auditing of particular billing codes, randomly selected provider auditing, and complaints of possible fraud.Click here to see a complete list of steps you should take in order to compile and provide a set of records that will best serve to help you avoid any liability at the conclusion of the audit process.Don't Wait Until It’s Too Late; Consult with a Health Law Attorney Experienced… [read post]
9 Aug 2012, 7:40 am
Typical ones include: special audits of high-fraud geographic areas, auditing of particular billing codes, randomly selected provider auditing, and complaints of possible fraud.Click here to see a complete list of steps you should take in order to compile and provide a set of records that will best serve to help you avoid any liability at the conclusion of the audit process.Don't Wait Until It’s Too Late; Consult with a Health Law Attorney Experienced… [read post]
30 Dec 2014, 1:04 pm
Nearly a year ago, as described in an earlier blog post, one of my favorite health industry journalists, Marla Durben Hirsh, published an article in Medical Practice Compliance Alert predicting physician practice compliance trends for 2014. [read post]
4 Apr 2014, 10:10 am
Under the newly adopted law, Recovery Audit Contractors (RACs) will not conduct patient status reviews of inpatient hospital admissions on a post-payment basis until March 31, 2015. [read post]
12 May 2017, 1:21 pm
In years past, the insurance carriers would have audited and demanded a repayment or cancelled their contract. [read post]
17 Mar 2014, 4:33 am
Immigrations and Customs Enforcement audit forced it to lay off a third of its workers in 2011.Pacific Steel in Berkeley, Calif., filed for Chapter 11 bankruptcy at the U.S. [read post]
30 Nov 2012, 5:25 am
In addition, CMS has announced 2013 Medicare deductible and coinsurance amounts, and it is seeking final clearance for its final rule implementing the ACA’s “Physician Payment Sunshine Act” provisions. [read post]
26 Nov 2012, 10:30 am
Second, Obamacare is the law — and as I said earlier, we are audited all the time now. [read post]
15 May 2014, 6:50 am
HRSA has released the results of audits of covered entity compliance with 340B drug discount program rules. [read post]
