Search for: "Physicians Auditing " Results 561 - 580 of 1,085
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26 Aug 2014, 4:11 am by David DePaolo
"Of course she also notes that the TPA, with its own Utilization Review and Bill Review service company has made as much as $50,000.00 in bill review charges on a single file.$50,000 reviewing bills of it's own Medical Provider Network physicians and vendors.MPNs have established fees by contract. [read post]
22 Aug 2014, 6:30 am by Michael B. Stack
Medical bill reviews will include both the audits of doctor bill and hospital bill auditing; Pharmacy benefit managers – These are the businesses specializing in managing and maintaining cost control for medications prescribed for the employee. [read post]
13 Aug 2014, 9:01 pm by Neil H. Buchanan
Moreover, the athletes are being given the chance to audition for a career in professional sports. [read post]
13 Aug 2014, 4:02 pm by Erin Staab
  The tapes contained personal information and protected health care information, including patients’ names, dates of birth, Social Security numbers, dates of medical examinations, physicians’ names and ultrasound images, for 12,127 Massachusetts residents and approximately 1,200 Rhode Island residents. [read post]
2 Aug 2014, 6:05 am by Schachtman
All information, interviews, reports, statements, memoranda, recommendations, letters of reference or other third party confidential assessments of a health care practitioner’s professional competence, or other data of the Illinois Department of Public Health, local health departments, the Department of Human Services (as successor to the Department of Mental Health and Developmental Disabilities), the Mental Health and Developmental Disabilities Medical Review Board, Illinois State Medical… [read post]
27 Jul 2014, 11:13 pm by Debra A. McCurdy
A Senate committee report calls for Medicare audit and local coverage policy reforms. [read post]
19 Jul 2014, 12:16 pm by Green and Associates
 Audits were conducted of many diagnostic companies and once those audits were completed, some cases were referred to Office of Inspector General for criminal investigation.There have been many cases where radiologists who had a high number of reports were suspected of having technicians write the reports but this case was extreme in that the technician used radiologists' names where the radiologist did not interpret the test. [read post]
7 Jul 2014, 8:34 am by Cynthia Marcotte Stamer
In an investigation prompted by the physician’s complaint, OCR found that Parkview breached this responsibility in its handling of certain physician patient records in helping the physician to transition to retirement. [read post]
3 Jul 2014, 2:23 pm
Failure to meet this standard or any of the other certification requirements could result in an increased risk of claims being denied by Medicare audit contractors. [read post]
24 Jun 2014, 1:52 pm by Barbara Taylor
  In the interest of providing more transparency for patients, the final rule requires pharmaceutical and medical device manufacturers and group purchasing organizations to report payments or transfers of value provided to physicians or teaching hospitals and to report physician ownership and investment interests. [read post]
16 Jun 2014, 12:58 pm
E/M services are performed by physicians in order to assess and manage a beneficiary's health. [read post]
2 Jun 2014, 2:32 pm by Cynthia Marcotte Stamer
He has led cross-functional teams involved in the development of rural managed care strategies, integration of legacy networks and systems, physician profiling and implementation of open access networks and systems. [read post]
2 Jun 2014, 11:27 am by Debra A. McCurdy
A number of Congressional panels have focused on following health policy issues recently, including the following: The House Ways and Means Health Subcommittee examined various Medicare hospital issues, including the CMS two-midnights policy, short inpatient stays, outpatient observation stays, Recovery Audit Contractor audits, and the appeals backlog. [read post]
31 May 2014, 9:07 am by Cynthia Marcotte Stamer
If you need assistance with these or other compliance concerns, wish to inquire about arranging for compliance audit or training, or need legal representation on other matters please contact Ms. [read post]
15 May 2014, 7:11 pm by Thaddeus Mason Pope, J.D., Ph.D.
The Royal College of Physicians has just released a 115-page report:  National Care of the Dying Audit for Hospitals, England:  National Report. [read post]
15 May 2014, 6:50 am by Debra A. McCurdy
HRSA has released the results of audits of covered entity compliance with 340B drug discount program rules. [read post]
13 May 2014, 5:04 am by The Public Employment Law Press
The Comptroller has the authority to review and report on the billing practices of a medical provider not a participating physician within the NYSHIP Empire Plan networkMartin H. [read post]