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21 Aug 2023, 4:30 am
Audit controls – regularly reviewing system activity, log files, etc. to identify irregular activity or potential compromises to PHI. [read post]
4 Aug 2023, 5:42 am
Audit Trails in Practice In our recent medical negligence case, we represented the estate of a 52-year-old husband and father who presented to his new primary care physician seeking help for alcohol overuse and depression. [read post]
1 Aug 2023, 7:30 am
In addition to the monthly premiums, MCOs can receive a one-time Supplemental Maternity Capitation Payment (SMCP) for the prenatal and postpartum physician care and hospital or birthing center delivery costs associated with the maternity care of a recipient. [read post]
1 Aug 2023, 7:30 am
In addition to the monthly premiums, MCOs can receive a one-time Supplemental Maternity Capitation Payment (SMCP) for the prenatal and postpartum physician care and hospital or birthing center delivery costs associated with the maternity care of a recipient. [read post]
26 Jul 2023, 5:00 pm
The employer must limit use of the card to (i) physicians, dentists, and vision care offices, hospitals, and other medical care providers, (ii) stores with the merchant category code for drugstores and pharmacies,[2] and (iii) stores that have implemented an inventory information approval system in accordance with the proposed cafeteria plan regulations. 6. [read post]
5 Jul 2023, 8:31 am
The Practitioner’s Manual provides guidance for all DEA registrants handling controlled substances—including behavioral health centers and physicians—on compliance with the Controlled Substance Act (CSA) and DEA regulations. [read post]
28 Jun 2023, 6:53 am
Working with and training law enforcement agencies on how to investigate and prevent fraud.[7] Texas Medical Board: The Texas Medical Board is responsible for licensing and regulating physicians and other medical professionals under its jurisdiction. [read post]
19 Jun 2023, 10:00 am
This is part of the SSA’s ongoing audit of the Listing of Impairments. [read post]
1 Jun 2023, 7:00 am
Would it surprise you if I told you that a popular and well-respected machine learning algorithm developed to predict the onset of sepsis has shown some evidence of racial bias? [read post]
29 May 2023, 10:00 am
Beneficiaries enrolled in Medicare Advantage may prefer the convenience of having a primary care physician who coordinates their care and can help manage referrals to specialists within the network. [read post]
17 May 2023, 10:48 am
For the better part of the last three years, many healthcare providers either voluntarily or by force have put many of the mandated HIPAA self-assessment audit requirements on the back burner. [read post]
8 May 2023, 8:23 am
Notably, the law specifically exempts health care professionals such as physicians and surgeons, dentists, podiatrists, psychologists, and veterinarians, but does not exempt nurses. [read post]
8 May 2023, 12:28 am
Improper Employment of Excluded Physician. [read post]
13 Apr 2023, 8:41 am
Michigan Academy of Family Physicians, 476 U.S. 667 (1986). [read post]
30 Mar 2023, 7:10 am
This might sound like good news for those physicians, except for two key facts. [read post]
30 Mar 2023, 7:10 am
This might sound like good news for those physicians, except for two key facts. [read post]
28 Mar 2023, 1:00 am
The findings of the audit should be fully documented for future reference.Many healthcare organizations rely on outside consultants to conduct compliance audits. [read post]
10 Mar 2023, 1:44 pm
Physicians, hospitals, clinics and other health care providers should take any necessary steps to adjust their practices to ensure their defensibility under federal health care fraud laws when flexibilities allowed under the COVID-19 public health emergency declaration (COVID-19 Declaration) first issued on January 31, 2020 end in May, 2023 as well as audit other potential compliance risks […] [read post]
21 Feb 2023, 4:02 pm
Read Blog Everything Doctors Should Know About the No Surprises Act Most physicians, especially those that work in hospital settings, have heard about the No Surprises Act. [read post]
15 Feb 2023, 4:25 pm
Few things can arrive in the mail that physicians and other healthcare providers dread more than a letter announcing an insurance audit. [read post]
