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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]
23 Oct 2013, 8:59 am
These audits typically focus on broad technical failures, such as a lack of specified patient information (such as body mass index) in the physician's examination notes, failure to have a registered technician attend the test, or failure to have a boarded sleep physician interpret the test (even though the physician might be a staff member of the accredited lab where the test took place). [read post]
21 Oct 2013, 2:13 pm
The OIG analyzed Medicare claims from hospital outpatient departments, as well as non-hospital providers such as independent diagnostic testing facilities and physician-owned sleep laboratories, starting in 2011. [read post]
10 Oct 2013, 9:00 am
Physicians often are not able to read the nurses’ remarks or notes. [read post]
10 Oct 2013, 4:07 am
In addition to this study, the OIG notes that it is also conducting audits of polysomnography claims for selected regions to determine whether claims were appropriate and paid accurately. [read post]
10 Oct 2013, 4:07 am
On September 26, 2013, CMS issued FAQs on the new policy, in which it announces it is directing MACs and Recovery Audit Contractors (RACs) to limit review of hospital compliance with this policy. [read post]
8 Oct 2013, 1:50 pm
The contract should provide access to necessary information including all records necessary to monitor and defend the plan, its design and administration, its compliance and prudent administration, including all disclosure, audit and reporting requirements. [read post]
7 Oct 2013, 2:06 pm
The Stark law, which functions to limit physician self-referrals, contains several exceptions. [read post]
1 Oct 2013, 10:02 pm
But flu surveillance, which CDC conducts and also assembles out of data sent to it by health departments and by networks of physicians, is on the shelf. [read post]
1 Oct 2013, 12:16 pm
” The FDA required an audit of these agreements to ensure they were being signed. [read post]
22 Sep 2013, 3:30 am
All four prior audit recommendations have been partially implemented. [read post]
17 Sep 2013, 4:37 am
The Advocate Medical Group breach affects patients seen by its physicians from the early 1990s through the time of the theft. [read post]
16 Sep 2013, 3:21 pm
OCR National Office and regional officials speaking about their findings about past business associate agreement compliance have indicated that their audit and enforcement activities show widespread compliance issues among Covered Entities and business associates with the original business associate agreements. [read post]
16 Sep 2013, 1:32 pm
Non-physicians may sign the certification, but will need a physician to co-sign. [read post]
12 Sep 2013, 4:49 pm
An extended period is often needed before regular audit procedures uncover a pattern of illegal behavior triggering a full scale investigation. [read post]
4 Sep 2013, 6:30 am
Are these medications coming from the treating physician on the file? [read post]
31 Aug 2013, 10:33 pm
Starting in 2014, the Individual Shared Responsibility mandate of the Patient Protection & Affordable Care Act (ACA) dictates that each individual American either have minimum essential coverage for each month, qualify for an exemption, or make a payment when filing his or her federal income tax return. [read post]
30 Aug 2013, 12:09 pm
Many physicians I have spoken with over the years mistakenly believe that if they undercode their services, they are reducing their risk of being audited. [read post]
27 Aug 2013, 8:13 pm
The new requirements for benchmarking and reporting required by these new rules will make it easier for OFCCP to identify and target for audit or enforcement government contractors whose lower statistical hiring of veterans and other disabled workers. [read post]
21 Aug 2013, 6:52 pm
Employer and union group health plan sponsors and insurers of group and individual health plans (Health Plans) agonizing over 2014 plan design decisions are running out of time. [read post]
