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30 Jan 2014, 8:00 am
Related blog posts: Medical Malpractice Lawsuits Do Not Have Harmful Effects on Patient Safety Making Sense of Electronic Medical Records with the Audit Trail Evolution of Hospital and Physician Relationships Accelerating with the Affordable Care Act of 2010 [read post]
26 Feb 2015, 8:29 am
Historically, CMS has targeted those who fail to have a compliance program in place in its enforcement and audit activities. [read post]
13 Jul 2012, 8:01 am
If you are concerned of any possible violations and would like a confidential consultation, contact a qualified health attorney familiar with medical billing and audits today.The Health Law Firm’s attorneys routinely represent physicians, medical groups, clinics, pharmacies, ambulance services companies, durable medical equipment (DME) suppliers, home health agencies, nursing homes and other healthcare providers in Medicaid and Medicare investigations, audits and… [read post]
22 Aug 2012, 8:05 am
Automated reviews conducted by the RACs typically focus on DME, physician and outpatient claims and do not require the production of additional records by the provider. [read post]
24 May 2012, 7:44 pm
Furthermore, the Government Accountability Office (GAO) studied the problem and issued a report, Medicare: Concerns with Physicians at Teaching Hospitals (PATH) Audits (July 1998). [read post]
23 Aug 2012, 7:31 am
This ability allows shared decision-making between patients and physicians and can result in less uncertainty by patients about the medical care they are receiving. [read post]
12 Oct 2010, 6:56 am
Some specific quality mechanisms for medical homes that are a part of the Casalino proposal include (a) National Committee for Quality Assurance (NCQA) certification as a medical home, (b) NCQA random on-site audits, (c) patient satisfaction surveys, and (d) mandated on-site audits when patient complaints are received. [read post]
19 Jun 2023, 10:00 am
This is part of the SSA’s ongoing audit of the Listing of Impairments. [read post]
17 May 2016, 7:12 am
These additional steps strive for efficiency via computer-based technologies that include assistance with the following matters: Physician peer review; Drug utilization review; and Clinical oversight. [read post]
3 Feb 2015, 1:47 am
Reduce payment for physician-administered Medicare Part B drugs from 106% to 103% of average sales price (ASP) starting in 2016. [read post]
11 Oct 2012, 6:55 am
Often Medicaid fraud criminal charges arise out of routine Medicaid audits, probe audits, or patient complaints. [read post]
28 Jun 2023, 6:53 am
Working with and training law enforcement agencies on how to investigate and prevent fraud.[7] Texas Medical Board: The Texas Medical Board is responsible for licensing and regulating physicians and other medical professionals under its jurisdiction. [read post]
10 Jun 2012, 7:52 am
The company has also agreed to plead guilty to a felony of obstruction of a federal audit, and to pay a $7,765,737 criminal fine. [read post]
2 Jun 2010, 11:43 am
With the increased health care enforcement environment and increased audit activity, health care providers are seeing audits and investigations resulting in significant overpayment demands and recoupment. [read post]
25 Jun 2012, 7:26 am
In addition to the civil penalties under the False Claims Act, Orthofix pleaded guilty to a felony obstruction of a federal audit for concealing information about fraudulent conduct regarding certificates of medical necessity to a Medicare contractor during a June 2008 audit. [read post]
30 Jun 2017, 2:29 pm
We understand the complexities of physician partnership and non-compete agreements. [read post]
9 Dec 2011, 7:37 am
The physicians will receive a form letter which will be entitled a ‘Take-Back Letter’ requiring return of any funds paid in conjunction with the affected hospitalization. [read post]
6 Sep 2012, 9:29 am
Gustafson specializes her practice in Recovery Audit Contracts and Medicare audit appeals, and she routinely publishes articles and speaks on the subject across the country. [read post]
13 Sep 2012, 8:14 am
Often Medicaid fraud criminal charges arise out of routine Medicaid audits, probe audits, or patient complaints.The Health Law Firm’s attorneys routinely represent physicians, medical groups, clinics, pharmacies, home health care agencies, nursing homes, group homes and other healthcare providers in Medicaid and Medicare investigations, audits and recovery actions.To contact The Health Law Firm please call (407) 331-6620 or (850) 439-1001 and visit… [read post]
1 Nov 2012, 6:02 am
The Health Law Firm’s attorneys routinely represent physicians, medical groups, clinics, pharmacies, home health care agencies, nursing homes, group homes and other healthcare providers in Medicaid and Medicare investigations, audits and recovery actions. [read post]
