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15 Mar 2022, 11:11 am
’s Ankura Consulting LLC’s Criminal Conduct Continues – Asbestos Trusts Fund Theft Despite multiple lawsuits being filed against Ankura Consulting LLC in 2021 for “sham audits” by noted and esteemed radiologists and physicians in 2021, Washington D.C. [read post]
21 Nov 2015, 10:02 am
It is a large radiation oncologist group with over 15 treatment centers and over 13 physicians serving hospitals and clinics in Indiana. [read post]
13 Jun 2012, 1:03 pm
The physician, according to the Attorney General, refused to so testify. [read post]
20 Nov 2023, 10:19 am
The government alleged that: (1) physicians were bribed with illeg [read post]
16 Jul 2009, 12:07 pm
The audits will be conducted on a representative sample of accredited suppliers. [read post]
4 Apr 2012, 10:00 am
When a physician, medical group or other healthcare provider receives a notice of an audit and site visit from Medicare, the Medicare Administrative Carrier (MAC) or the Zone Program Integrity Contractor (ZPIC), things happen fast with little opportunity to prepare. [read post]
15 May 2014, 7:11 pm
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]
16 Jul 2012, 9:00 am
Read More › Tags: Compliance, HIPAA, HITECH Act, Hospitals, Long Term Care, Physicians, Regulatory [read post]
17 Mar 2009, 10:44 pm
It is expected that the State will rely on Section 655.8 in its audits for Medi-Cal to preclude physicians from global billing where they use mobile services and are not radiologists. [read post]
16 Jul 2018, 12:47 pm
Responding to an Audit of Your Transcran [read post]
18 Mar 2021, 3:43 am
Our firm is designed to defend health care providers, physicians, dentists, and home health agencies efficiently and effectively from allegations of overbilling to fraud. [read post]
22 Aug 2010, 10:10 am
Most Medicare and Medi-Cal audits fall into one of three broad categories:(1) an audit during the application or updating of application process where there is an on-site visit and review of business records and typically only a limited number of claims;(2) prepayment audits (most common in Medicare), in which a review of claims is conducted before Medicare pays the physician, where carriers typically want to look at only one or two claims from each… [read post]
8 Feb 2019, 6:00 am
According to the physician order dated March 7, 2017, the brace was prescribed for lower back pain. [read post]
2 Jul 2010, 7:12 am
(July 2, 2010): CMS’ Recovery Audit Contractor (RAC) program is now permanent and nationwide. [read post]
8 Aug 2008, 1:46 pm
So what can you do if your documentation falls short in the face of an audit submission? [read post]
7 Dec 2022, 4:00 am
Allegations for demanding repayment might include failure to provide a record set, incomplete documentation in patient records, documentation in patient records not sufficient to support the billing code, and/or lack of physician signature, for example. [read post]
22 Mar 2016, 6:57 am
These audits will primarily be desk audits, although some on-site audits will be conducted. [read post]
24 Sep 2019, 10:00 am
., Board Certified by The Florida Bar in Health Law We have gotten calls from healthcare professionals, including physicians, dentists, pharmacists, mental health counselors, and assisted living facilities (ALFs) who have been placed on prepayment review after failing to challenge Medicare or Medicaid audit results. [read post]
21 Mar 2012, 2:34 pm
However, few are recognizant of the subtleties involved in the specific approach the OIG takes in assessing physician lease agreements. [read post]
5 May 2017, 2:38 pm
The Health Law Partners (HLP) is proud to be part of the upcoming Physician Legal Issues Conference co-sponsored by the American Bar Association Health Law Section and Chicago Medical Society. [read post]
