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29 Dec 2015, 7:47 am
There will be a move to require Medicare patients to use HMO services and to rely on large chains rather than small providers who are harder to audit, tend to have a higher rate of audit issues and have trouble making repayment in the event of any alleged overpayments.Posted by Tracy Green, Esq.Office: 213-233-2261 [read post]
27 Dec 2015, 11:15 am
It is also important in places like California to be disaster ready and show that there is contingency planning.If there is an audit for HIPAA, it is like any other audit in that there are findings. [read post]
15 Dec 2015, 9:11 am
We've seen employees not understand the rules or think there is wrongdoing when the billing rules are being followed.While hospitals and large entities make this part of their corporate culture, the Office of Inspector General (OIG) have regulations for physician and smaller health care providers that encourage them to implement a voluntary compliance program. [read post]
15 Dec 2015, 4:23 am
On Friday I quoted blogger and principal of Health Strategy Associates, Joe Paduda, about physician's reticence to complete paperwork.Paduda opined that physicians would be loath to move claims from general health to work comp because of the extra paper work, stating, "documentation that is perceived by physicians as irrelevant to patient care is the discontent of doctors - seems to me that's the definition of workers' comp. [read post]
21 Nov 2015, 10:02 am
It is a large radiation oncologist group with over 15 treatment centers and over 13 physicians serving hospitals and clinics in Indiana. [read post]
15 Nov 2015, 8:41 pm
In an effort to control his increasingly severe episodes of self-abusive behavior, in 1978 his primary physician at the facility, the doctor began administering Haldol to him. [read post]
11 Nov 2015, 10:40 am
” State lawmakers hailed the move, which came on the heels of an audit released by the state Sunset Advisory Commission which exposed serious flaws in the Medicaid anti-fraud program. [read post]
11 Nov 2015, 8:09 am
Whether the fabrication of records occurs at the audit or patient treatment stage, it is used since juries tend to trust records more than witnesses in fraud cases. [read post]
3 Nov 2015, 11:40 am
Department of Health and Human Services Office of Inspector General has released their Work Plan for Fiscal Year 2016 The HHS-OIG expects significant recoveries in audit receivables, investigative receivables and non-HHS investigative receivables resulting from their Work Plan, as well as tremendous savings in legislative, regulatory, and/or administrative actions. [read post]
30 Oct 2015, 1:15 pm
It is critical that the examining physician be provided a comprehensive job description setting out the job requirements. [read post]
28 Oct 2015, 9:07 am
Medicare and Tricare pay and reserve the right to audit and challenge all billing for the prior 6 years. [read post]
27 Oct 2015, 12:58 pm
This reality has many physicians feeling like they are under constant suspicion or threat of audit and investigation for even minor irregularities in their billing practices. [read post]
15 Oct 2015, 1:08 pm
., is physician based in Petersburg, Virginia, who conducts business under the name "The Peterburg Spine Center. [read post]
15 Oct 2015, 8:08 am
., is physician based in Petersburg, Virginia, who conducts business under the name “The Petersburg Spine Center. [read post]
23 Sep 2015, 4:22 am
Patterson complied.According to the Workers' Compensation Judge's report on reconsideration, "There was no conflict or disagreement between the applicant's primary treating physician, Dr. [read post]
10 Sep 2015, 8:58 am
Developing access rights and controls for participants, and auditing and monitoring participants’ access to EHR. [read post]
9 Sep 2015, 2:21 pm
She also previously served as President and Founding Board Member of the Alliance for Health Care Excellence and its Health Care Heroes and Patient Empowerment Programs, as RPTE Employee Benefits & Other Compensation Group Chair and Welfare Benefit Committee Vice Chair, Exempt Organizations Coordinator of the Gulf States Area TEGE Council, Board President and Audit Committee Chair of the Richardson Development Center for Children ECI Agency, National Kidney Foundation of North… [read post]
24 Aug 2015, 8:00 am
When an audit was performed to review services in the state, P.K. provided falsified documents to those conducting the audit. [read post]
16 Aug 2015, 8:07 am
Eighty percent of prescriptions are written by primary-care physicians with little training in their proper use, under intense pressure from drug salespeople and misled patients, after rushed seven-minute appointments, with no systemic auditing. [read post]
6 Aug 2015, 6:21 pm
John Reed Stark David Fontaine It is well understood by now that cyber security is a concern for every organization and that it is an issue on which every company’s board should be focused. [read post]
