Search for: "Physicians Auditing "
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26 Dec 2014, 5:00 am
However, using experience gained through the sponsoring employer will likely increase the chances of receiving an Audit from the Department of Labor. [read post]
17 Dec 2014, 7:38 am
However, even if currently outside the scope of the pilot program, providers should be alerted to CMS's recent scrutiny of ambulance transport services and may be a sign that providers could be targeted for Medicare audits in the future. [read post]
17 Dec 2014, 5:48 am
For instance, the report: expresses concerns about a CMS proposal to eliminate critical access hospital status for certain rural facilities; requests CMS to report on the impact of competitive bidding on treatment patterns of enteral nutrition patients residing in LTC facilities; directs CMS to review billing rules regarding implantable pain pump drugs; requests that CMS develop proposals to encourage short-cycle dispensing of outpatient prescription drugs in LTC facilities; directs CMS to educate… [read post]
15 Dec 2014, 1:21 pm
For instance: The House Ways and Means Health Subcommittee chairman and ranking member have released a bipartisan bill including a variety of Medicare fraud/abuse provisions, covering such issues as recovery audit contractors, prevention of Medicare Part D prescription drug abuse, elimination of civil monetary penalties for inducements to physicians to limit services that are not medically necessary, and others. [read post]
15 Dec 2014, 7:56 am
For FY 2014, the OIG reported recoveries of over $4.9 billion, consisting of nearly $834.7 million in audit receivables and about $4.1 billion in investigative receivables. [read post]
15 Dec 2014, 3:10 am
” In addition, beyond private civil litigation, the Department of Labor and the IRS will be auditing employer health care plans, and will be able to seek civil penalties and impost substantial excise taxes for noncompliance. [read post]
9 Dec 2014, 6:36 am
Accordingly, the AMA strongly urged CMS to consider the following changes to the RAC program: • RACs should be subject to financial penalties for inaccurate audit findings and physicians should receive interest when they win on appeal of a RAC audit • Physicians should be permitted to rebill for recouped claims for a year following recoupment • CMS should provide an optional appeals settlement to physicians similar to that provided to… [read post]
1 Dec 2014, 5:01 am
Compliance with federal and state laws by health care providers (physicians, physician assistants, and advanced nurse practitioners) is critical. [read post]
26 Nov 2014, 9:27 am
Attorney’s Office civil division and physician Dr. [read post]
19 Nov 2014, 12:00 pm
In 2013, the cost of these services consisted of $84,584 for insurance coverage, $11,086 for legal services, $10,675 for physician services, $7,800 for investment management services, $5,000 for external audit services and $650 for engineering services. [read post]
10 Nov 2014, 5:42 am
Skinny plans typically offer little or no hospitalization benefits or physician services and only minimal preventive services. [read post]
6 Nov 2014, 3:28 pm
Budding physicians at the University of Toledo are learning valuable surgical and emergency skills from pigs, a practice that has come under scrutiny by The Physicians Committee for Responsible Medicine, a DC-based animal activist group. [read post]
1 Nov 2014, 5:43 pm
Have us or another experienced firm conduct an audit and make sure you comply before the Medical Board or DEA pays your office a visit or requests records from your office.Posted by Tracy Green, Esq.Green and Associates, Attorneys at Law213-233-2260Email: tgreen@greenassoc.com [read post]
23 Oct 2014, 4:27 am
I find that provision odd - how can a physician in a peer review process rely on the MQRP then? [read post]
16 Oct 2014, 7:57 am
The audit did not turn out well for Richards v. [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]
1 Oct 2014, 8:44 pm
Regular auditing and actuarial reserve analysis will be necessary to ensure that there are no unknown financial liabilities lurking beneath the surface and to give the excess carrier the requisite assurance that the program is running smoothly. [read post]
26 Sep 2014, 7:26 am
Department of Labor is actively auditing plans for compliance and can bring a civil action against an employer to enforce these requirements. [read post]
17 Sep 2014, 9:10 pm
OIG’s Office of Audit Services and Office of Counsel to the Inspector General, represented by Senior Counsels Andrea Treese Berlin and Geoffrey Hymans, collaborated to achieve this settlement. [read post]
10 Sep 2014, 5:48 am
"The remaining 5% of IMEs not sent to one of the contract organizations went to out-of-state physicians. [read post]
