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16 Oct 2012, 2:08 pm
The Health Law Firm’s attorneys routinely represent physicians, medical groups, clinics, pharmacies, assisted living facilities (AFLs), home health care agencies, nursing homes, group homes and other healthcare providers in Medicaid and Medicare investigations, audits and recovery actions. [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]
27 May 2022, 4:01 pm
Audits can target specific service types with a history of inappropriate denials, including the three identified in the Report. [read post]
14 Oct 2014, 9:33 pm
Because CareMed knew that many insurance companies require the prescribing physician’s office to provide any necessary clinical information directly, staff posed as physician office employees when placing telephone calls to secure prior authorizations. [read post]
3 Dec 2017, 3:00 pm
Allow the independent Medical Panel Office to select a roster of acceptable physicians instead of the WCB retaining physicians for independent medical examinations. [read post]
25 May 2012, 10:15 am
In addition, the OCR continues to work on audits of covered entities. [read post]
3 Dec 2017, 3:00 pm
Allow the independent Medical Panel Office to select a roster of acceptable physicians instead of the WCB retaining physicians for independent medical examinations. [read post]
24 Feb 2017, 11:49 am
OCR has identified compliance with “individual access rights” as one of seven areas of focus in the HIPAA audits of covered entities and business associates currently underway, signaling its concern that physicians and other covered entities may be violating HIPAA in this respect. [read post]
3 Dec 2017, 3:00 pm
Allow the independent Medical Panel Office to select a roster of acceptable physicians instead of the WCB retaining physicians for independent medical examinations. [read post]
27 Apr 2010, 5:54 pm
Physicians are to be provided with this information. [read post]
31 May 2009, 11:28 pm
After a 2008 audit revealed that hundreds of payment requests had been submitted for in-home services never performed, the Attorney General's Office and the California Department of Health Care Services launched an investigation into the program, leading to the charges filed and an ongoing investigation into physicians who allegedly facilitate this type of fraud. [read post]
9 Feb 2011, 7:23 am
CON: The bill will deter physician participation in the Medicaid program. [read post]
2 Sep 2016, 4:32 am
If you would like information about defending a Medicare Audit, or investigation click here. [read post]
1 Nov 2007, 4:46 am
The Secretary argued that MacKenzie was liable for the overpayment because a post-payment audit revealed that insufficient medical documentation existed to establish the medical necessity of providing each power wheelchair at issue. [read post]
13 Apr 2017, 3:11 pm
These ideas are contained in a document, “Measuring Compliance Program Effectiveness – A Resource Guide,” which addresses both what and how to measure compliance with the standard seven elements of a compliance program: Standards, Policies, and Procedures Compliance Program Administration Screening and Evaluation of Employees, Physicians, Vendors and other Agents Communication, Education, and Training on Compliance Issues Monitoring, Auditing, and Internal… [read post]
2 Sep 2016, 4:32 am
If you would like information about defending a Medicare Audit, or investigation click here. [read post]
6 Oct 2007, 2:47 pm
A CMN as it is called in the industry is necessary to bill Medicare for a physician approved motorized wheelchair. [read post]
24 Jun 2011, 7:17 am
The Texas law requires covered entities, such as hospitals, physicians, health plans, health care clearinghouses and their business associates, to comply with the federal Health Insurance Portability and Accountability Act (HIPAA) privacy standards. [read post]
5 May 2008, 7:22 am
CeaseFire's founder, Gary Slutkin, is an epidemiologist and physician who battled infectious diseases in Africa. [read post]
22 Nov 2011, 12:00 am
Health centers will submit progress reports to CMS every 6 months, and may be subject to random site audits. [read post]
