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15 Aug 2016, 4:31 pm
I learned how to audit and later got hired by a carrier. [read post]
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]
16 Jun 2016, 2:48 pm
Morgan Stanley also did not audit or test the relevant authorization modules, nor did it monitor or analyze employees’ access to and use of the portals. [read post]
6 Jun 2016, 12:16 pm
Ehsan allegedly billed Medicare for unnecessary home healthcare services and financially induced physicians to refer Medicare beneficiaries to his business. [read post]
6 Jun 2016, 12:16 pm
Ehsan allegedly billed Medicare for unnecessary home healthcare services and financially induced physicians to refer Medicare beneficiaries to his business. [read post]
26 May 2016, 12:05 pm
Many physicians or other health care providers that use electronic health records (EHRs) certified to allow individuals to access their PHI in the system may be unaware that OCR views the availability of electronic access from the EHR affects the health care provider’s ability to charge for copies of requested PHI. [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]
11 May 2016, 5:30 am
The Audit and Enforcement Unit of California’s Division of Workers Compensation (DWC) will be noticing more target audits in 2016 to address utilization review (UR) complaints. [read post]
27 Apr 2016, 9:00 am
Read More › Tags: Audits, Billing/Payment, Medicare/Medicaid, Providers [read post]
23 Apr 2016, 8:29 am
I have seen an increase in the number of audits for even small providers since it is much simpler to see patterns in billing that trigger red flag audits. [read post]
22 Apr 2016, 4:01 pm
Lots (and I mean lots, or I'm just lucky) of physicians, dentists, hospitals, vendors, and others seem to be getting notices from OCR today indicating that they are on the audit list for the Phase II audits. [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]
13 Apr 2016, 4:55 pm
John Reed Stark There have been several very high profile news reports of significant law firm data breaches. [read post]
12 Apr 2016, 8:57 am
In the past, if there were Medicare audits for services billed but not performed, there would be a demand for overpayment and criminal prosecutions were rare. [read post]
7 Apr 2016, 10:19 am
Receiving a pre-audit questionnaire does not guarantee your entity will be audited. [read post]
7 Apr 2016, 10:19 am
Receiving a pre-audit questionnaire does not guarantee your entity will be audited. [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]
28 Mar 2016, 9:27 am
” Physicians, medical practices, other providers and healthcare businesses, and their business associates, should take steps to ensure they are current and compliant with respect to HIPAA requirements. [read post]
28 Mar 2016, 9:27 am
” Physicians, medical practices, other providers and healthcare businesses, and their business associates, should take steps to ensure they are current and compliant with respect to HIPAA requirements. [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]
