Search for: "Physicians Auditing "
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5 Mar 2014, 5:04 am
Prescription Drug Provisions Reduce payment for physician-administered Medicare Part B drugs from 106% to 103% of average sales price (ASP). [read post]
16 Jun 2011, 2:18 pm
Although the decision to admit a patient to the hospital as an inpatient can only be made by the physician, nursing notes, in many cases, detail relevant factors supporting a physician's decision. [read post]
13 Feb 2024, 3:15 am
There, the insurance company had shifted its business practice of underwriting professional liability insurance policies for smaller, lower risk physician groups in favor of underwriting policies for larger, riskier physician groups and hospitals, which created difficulty in calculating the company’s required loss reserves. [read post]
13 Aug 2007, 7:00 am
Several of Baisden's customers are physicians and nurse anesthetists, many of whom have not filed past-due tax returns. [read post]
25 Jul 2019, 7:52 am
In response to a review of her dispensing history, which included a focus on select high-prescribing physicians, Colter drafted documents that contained false and fraudulent statements, which the Drug Enforcement Administration would review as part of any regulatory compliance audit. * * * [read post]
15 Jan 2013, 6:59 am
Failing to respond to an audit of continuing education completion requirements (you will then be assumed to have not completed them and a DOH investigation will be opened).7. [read post]
22 Jan 2015, 4:32 am
Restructure Audit Unit regulations so the Unit can actually fine and collect from carriers and Third Party Administrators that fail to meet standards; right now the Audit Unit is laughably impotent.There you have it.Come to the session so you can hear what the other 5 on the panel have to say. [read post]
5 Feb 2024, 9:11 am
Due to ICE’s improper authorization, the OIG audit could not verify whether the surgeries were medically necessary. [read post]
27 Apr 2009, 10:00 pm
In a move targeted to increase health care fraud enforcement by the State of Florida, the Florida legislature has recently passed legislation containing a number of new fraud provisions, including: * elevating Medicaid fraud from a third degree felony to first, second and third degree felonies based upon dollar amounts of fraud and increasing fines to five times the amount of the fraud; * designating Miami-Dade County as a "health care fraud crisis area" and increasing the monitoring of… [read post]
25 Aug 2016, 12:12 pm
One key factor found by the HHS-OIG was that doctors participating in these schemes were usually not the Medicare beneficiary’s primary care physician. [read post]
6 Jan 2011, 5:57 am
The Baltimore Sun reports that the facility must now conduct annual, random audits of its cardiac care practices. [read post]
1 Aug 2010, 11:28 am
What needs to be done now by every hospital in the country immediately: Audit their policies and procedures. [read post]
Sixth Circuit Affirms Conviction and Sentence of Anesthesiologist for Fraud and Endangering Patients
15 Dec 2009, 5:52 am
Martinez engaged in fraud and endangered patients by administering far more injections than his peers and seeing more patients more day than other physicians in Ohio. [read post]
11 Jun 2012, 8:34 am
Six years earlier, a CMS Program Safeguard Contractor audited Dr. [read post]
25 Aug 2016, 12:12 pm
One key factor found by the HHS-OIG was that doctors participating in these schemes were usually not the Medicare beneficiary’s primary care physician. [read post]
29 Oct 2012, 8:44 am
The topics focused on are user authorization and access, audit logs, metadata, entry of physician progress notes and patient identity management. [read post]
21 Aug 2007, 5:45 am
Salick used three shelters, all thrown out after state and federal tax audits, to shield a significant part of his estimated $100 million net worth. [read post]
25 Aug 2016, 12:12 pm
One key factor found by the HHS-OIG was that doctors participating in these schemes were usually not the Medicare beneficiary’s primary care physician. [read post]
6 Apr 2016, 5:19 pm
Medicare, which consists of four parts (A-D), covers hospitalizations, physician services, prescription drugs, skilled nursing facility care, home health visits, and hospice care, among other services. [read post]
19 Jun 2009, 9:31 am
Gustafson, Esq. at (248) 996-8510 or visit The HLP website's RAC, Medicare and Other Payor Audits page. [read post]
