Search for: "Physicians Auditing "
Results 601 - 620
of 1,085
Sorted by Relevance
|
Sort by Date
7 May 2020, 9:41 am
Editor’s Note: It is a good thing when advanced eDiscovery technologies and protocols can be applied to audit, investigation, and litigation efforts to increase the effectiveness and efficiency of discovery. [read post]
2 Oct 2012, 6:40 am
We have represented physicians who have been the subjects of Drug Enforcement Administration (DEA) investigations. [read post]
5 Nov 2013, 7:58 am
The Texas Medical Board adopted the repeal of §§193.1 – 193.10 and 193.12 and new §§193.1 – 193.20, Standing Delegation Orders, to encourage the more effective use of physicians’ skills by establishing guidelines for health care task delegation to qualified non-physicians providing services under reasonable physician control and supervision where such delegation and supervision is consistent with the patient’s health and… [read post]
22 Sep 2011, 8:56 am
· Retrospective reviews- After a prescription is filled, the PBM’s clinical pharmacist team should audit the claim for indicators of misuse; multiple physicians, duplication of therapy, excessive duration and use. [read post]
7 Oct 2006, 5:06 am
Represented physician in Medicaid related audit, investigation and settlement on billing and reimbursement issues. [read post]
25 Apr 2011, 4:02 pm
In my experience, which includes many claim audits by an MD, about 1/3 of IME's is unnecessary. [read post]
3 Jun 2013, 9:22 am
We have seen an increase in audits, investigations, and prosecutions for cases that would have been settled civilly in prior years. [read post]
22 Aug 2014, 6:30 am
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]
16 Jul 2015, 4:32 am
That's why we have artificial limitations on physical medicine services - because there was a group of providers who couldn't be trusted.That's why we have fee schedules for copy and interpreting services - because there was a group of vendors who couldn't be trusted.That's why there's a claims audit process and a penalty system - because there was a group of claims payers who couldn't be trusted.That's why there's payroll audit and… [read post]
23 May 2019, 3:48 pm
According to the indictment, the defendants evaded and obstructed audits and questions about billings through various efforts, including by providing false information in response to audits and diverting their billing through affiliated pharmacies. [read post]
29 Jul 2022, 6:14 am
State Fee Splitting Prohibitions Many states have enacted “Corporate Practice of Medicine” and/or “Fee-Splitting” statutes which prohibit the payment by a physician of a portion of his professional fees to a non-physician or to a physician who was not involved in the delivery of the professional service. [read post]
9 Jun 2013, 3:01 pm
They found that Medtronic had illegally recommended and that physicians use InFuse for off-label surgeries such as cervical procedures. [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]
12 Feb 2013, 6:41 am
This could be a complaint against a physician, dentists, mental health counselor, nurse, psychologist, pharmacist or anyone else. [read post]
21 Jun 2013, 2:43 pm
The revised statute also mandates that the Commission retain separate physician and dental directors who must ensure any investigative findings based on the necessity or quality of care be reviewed by a qualified expert. [read post]
21 Feb 2013, 6:31 am
“More Physicians on Track to get Flu Shots. [read post]
24 Jan 2013, 6:52 am
This could be a complaint against a physician, dentists, mental health counselor, nurse, psychologist, pharmacist or anyone else. [read post]
22 May 2010, 11:00 pm
The type of “storage” required by a RCS is akin to that of a virtual filing cabinet, such as when physicians and hospitals maintain medical files in offsite databanks. [read post]
16 Apr 2021, 6:16 am
With the same access available to a hospital physician, and the EMR program’s user manual, our expert was able to access the metadata and recover every alteration and deletion. [read post]
15 May 2013, 5:15 am
It looks like the defendant mounted a TwIqbal challenge to the complaint, and the court mushed together the manufacturing and design defect claims in a way that mystifies: "Plaintiff pleads and references good manufacturing practices that Defendant is required to maintain, including establishing and maintaining quality audits, quality testing, and process validation for the Articul/EZE ceramic femoral head, and that here, in their absence, the product was defective and… [read post]
