Search for: "Physicians Auditing "
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19 Apr 2015, 10:58 am
Monitoring systems and keeping detailed audit logs – which are carefully reviewed. [read post]
14 Apr 2015, 6:43 pm
In February 2013, the Steins were notified by IRS that their returns had been selected for audit. [read post]
30 Mar 2015, 9:27 am
Audit, audit, audit. [read post]
24 Mar 2015, 8:34 pm
There are technical safety mechanisms and audit controls to limit that access. [read post]
11 Mar 2015, 1:48 pm
Picture a physician reading a newspaper article about the inner workings of his hospital. [read post]
9 Mar 2015, 11:53 am
Remarkably, the incident wasn’t reported by the facility as a large data breach, but by the physician. [read post]
2 Mar 2015, 12:07 pm
It is important that HHAs develop an effective compliance program that provides proactive measures to educate staff and certifying physicians on documentation requirements and prepare for an audit. [read post]
26 Feb 2015, 8:29 am
Historically, CMS has targeted those who fail to have a compliance program in place in its enforcement and audit activities. [read post]
19 Feb 2015, 12:13 pm
Polglase, MD, JD, CHCQM is an emergency physician and attorney with extensive experience in physician practice management, hospital utilization and revenue management and post-payment audits. [read post]
19 Feb 2015, 5:30 am
If an audit subject’s PAR performance rating is 1.53447or higher, the audit will expand to a FCA, and an additional sample of indemnity claims will be audited. [read post]
17 Feb 2015, 3:14 pm
However, claims above $3,700 for physical therapy and speech language pathology services combined, and above $3,700 for occupational therapy services, are subject to manual medical review by recovery audit contractors (RACs). [read post]
3 Feb 2015, 1:47 am
Reduce payment for physician-administered Medicare Part B drugs from 106% to 103% of average sales price (ASP) starting in 2016. [read post]
29 Jan 2015, 12:39 pm
While the OIG letter cites legal authorities supporting its policies, the OIG did announce that given the “dynamic landscape” of Medicare inpatient short-stay policy, it has voluntarily suspended reviews of inpatient short-stay claims after October 1, 2013, consistent with the moratorium placed on the recovery audit contractors. [read post]
28 Jan 2015, 4:34 am
. - Lawmaker Seeking Mandatory Premium Audits of EmployersUtah - Bill would Allow WCF Policyholders to Elect Board Members, Increase PayN.D. - State Lawmakers Consider Bill to Provide Benefits for PTSD to First RespondersSome of this activity is the product of previously passed legislation. [read post]
23 Jan 2015, 11:51 am
FACTS: The Agency for Health Care Administration (“AHCA”) is responsible for administering Florida’s Medicaid program and conducting investigations and audits of paid claims to ascertain if Medicaid providers have been overpaid. [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]
20 Jan 2015, 7:14 am
The permanent HIPAA audit program, slated to begin in 2015, is expected to audit business associates as well as covered entities. [read post]
14 Jan 2015, 12:18 pm
CMS has adjusted the first quarter 2015 Medicare physician fee schedule conversion factor, and it has made announcements regarding provider timeframes for responding to pre-payment review documentation requests and recovery audit contracts. [read post]
13 Jan 2015, 8:25 am
Currently, the law prohibits new physician-owned hospitals, expansion of existing physician-owned hospitals, and an increase in the percentage of physician ownership in existing physician-owned hospitals. [read post]
30 Dec 2014, 1:04 pm
Nearly a year ago, as described in an earlier blog post, one of my favorite health industry journalists, Marla Durben Hirsh, published an article in Medical Practice Compliance Alert predicting physician practice compliance trends for 2014. [read post]
