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3 Aug 2015, 6:30 am by Michael B. Stack
  If the employer notices a continuing pattern of large reserve adjustments on the claim files right before or when the claim closes, a claim file audit should be completed. [read post]
30 Jul 2015, 10:00 am
These include pediatricians, Ob/Gyns, family practice physicians and dentists.... [read post]
30 Jul 2015, 10:00 am
These include pediatricians, Ob/Gyns, family practice physicians and dentists.... [read post]
30 Jul 2015, 10:00 am
These include pediatricians, Ob/Gyns, family practice physicians and dentists.... [read post]
18 Jul 2015, 11:00 am by Moseley Collins
At this time, no lawsuit has been filed, but the state is asking that these prisons works to make physicians and nurses more available to inmates, improve their training, and work on their auditing requirements. [read post]
16 Jul 2015, 4:32 am by David DePaolo
That's why we have artificial limitations on physical medicine services - because there was a group of providers who couldn't be trusted.That's why we have fee schedules for copy and interpreting services - because there was a group of vendors who couldn't be trusted.That's why there's a claims audit process and a penalty system - because there was a group of claims payers who couldn't be trusted.That's why there's payroll audit and… [read post]
14 Jul 2015, 7:00 am by Robert Kraft
The editorial calls for stricter auditing procedures, and I am in complete agreement. [read post]
26 Jun 2015, 1:08 pm by John Elwood
Jackson Women’s Health Organization, 14-997, which is also on five relists, involves the constitutionality of Mississippi legislation requiring its lone abortion clinic to comply with health regulations for outpatient surgical facilities, and requiring physicians working there to have admitting privileges at a local hospital. [read post]
26 Jun 2015, 12:00 pm by John Ehrett
In its Conference of June 25, 2015, the Court is considering petitions seeking review of issues such as whether an appellate court can conduct a post-hoc assessment of trial counsel’s performance based on scientific advances not available at the time of trial, whether an officer who fired his service rifle at a vehicle involved in a high-speed chase acted reasonably under the Fourth Amendment, and whether official actions by a Member of Congress to develop, evaluate,… [read post]
22 Jun 2015, 8:22 am by assoulineberlowe
” For example, where a physician’s laptop is lost or stolen; or where a company IT system has been “hacked. [read post]
22 Jun 2015, 7:27 am by assoulineberlowe
” For example, where a physician’s laptop is lost or stolen; or where a company IT system has been “hacked. [read post]
19 Jun 2015, 12:13 pm by John Elwood
Jackson Women’s Health Organization, 14-997, involves the constitutionality of Mississippi legislation requiring its lone abortion clinic to comply with health regulations for outpatient surgical facilities, and requiring physicians working there to have admitting privileges at a local hospital. [read post]
5 Jun 2015, 7:32 am by John Elwood
It asks (1) whether the Due Process Clause requires Mississippi to exempt physicians at its lone abortion clinic from complying with a health regulation that applies to physicians at all other outpatient surgical facilities; and (2) whether the provision imposes an undue burden under Planned Parenthood of Southeastern Pennsylvania v. [read post]
4 Jun 2015, 8:00 am by Greene LLP
Cephalon also allegedly avoided its obligations under the Corporate Integrity Agreement by manipulating internal audits. [read post]
27 May 2015, 12:25 pm by Madeline Gitomer
Monitor, Audit, and Update Security on an Ongoing Basis   ONC’s revised guidance is timely given the growing use of EHRs among providers and hospitals. [read post]
20 May 2015, 1:28 pm
Lastly, the Medicare Audit Improvement Act would implement statutory language that limits a RAC's scope of review for inpatient hospital claims to only the information that the admitting physician had at the time the admission decision was made. [read post]
3 May 2015, 4:00 am by Jon Gelman
”Patients who are implanted with a Synchromed II Implantable Infusion Pump System should maintain regular follow-up appointments with their physicians. [read post]
28 Apr 2015, 10:00 am by Greene LLP
Based on a preliminary audit, the amount of charges generated from the upcoding for certain of patients was $391,500 for this period alone. [read post]