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5 Aug 2010, 9:08 am by Moderator
Our comments:  This requirement can be extremely harsh, especially when considering the fact that many claims depend on an initial order by a referring or ordering physician. [read post]
30 Oct 2015, 1:15 pm by Charla Bizios Stevens
  It is critical that the examining physician be provided a comprehensive job description setting out the job requirements. [read post]
1 Sep 2010, 3:57 am by Ben Vernia
Allergan held workshops to teach doctors and their office staffs how to bill for off-label uses, conducted detailed audits of doctors? [read post]
17 May 2010, 7:18 am by Darrin Mish
As a result, there would be fewer audits and a lower rate of errors. [read post]
12 Mar 2013, 7:55 am by Jerri Lynn Ward, J.D.
SB 1118: Relating to access to specialist physicians under managed care health benefit plans. [read post]
1 Oct 2009, 7:44 am
You are probably most familiar with professional liability insurance for attorneys or physicians. [read post]
3 Aug 2012, 5:30 am by Rebecca Shafer, J.D.
  Make these physicians defend their actions, and don’t let it pass you by and slip through the cracks. [read post]
25 Feb 2009, 10:28 pm
This affects, for example, the way they approach honest providers during audits and interviews.Third, do a background check on who you do business with in healthcare. [read post]
12 Apr 2017, 9:35 pm by Cynthia Marcotte Stamer
Stamer has worked closely with a diverse range of physicians, hospitals and healthcare systems, DME, Pharma, clinics, health care providers, managed care, insurance and other health care payers, quality assurance, credentialing, technical, research, public and private social and community organizations, and other health industry organizations and their management deal with governance; credentialing, patient relations and care; staffing, peer review, human resources and workforce performance… [read post]
1 Mar 2017, 12:55 pm by Cynthia Marcotte Stamer
 Stamer also is widely recognized for her extensive work and leadership on HIPAA, FACTA, PCI, IRC and other tax, Social Security, GLB, rade secret, physician and other medical confidentiality and privacy, federal and state data security and data breach and other informatio [read post]
28 Nov 2012, 5:29 pm by Ed Wallis
In determining a global surgery fee, Medicare estimates the number of E/M services that physicians provide to typical beneficiaries receiving such surgeries and compensates physicians regardless of the E/M services actually provided. [read post]
12 May 2017, 4:54 pm by Cynthia Marcotte Stamer
Her work includes both regulatory and public policy advocacy and thought leadership, as well as advising and representing a broad range of health industry and other clients about policy design, drafting, administration, business associate and other contracting, risk assessments, audits and other risk prevention and mitigation, investigation, reporting, mitigation and resolution of known or suspected violations or other incidents and responding t [read post]
12 May 2017, 2:39 pm by Cynthia Marcotte Stamer
Her work includes both regulatory and public policy advocacy and thought leadership, as well as advising and representing a broad range of health industry and other clients about policy design, drafting, administration, business associate and other contracting, risk assessments, audits and other risk prevention and mitigation, investigation, reporting, mitigation and resolution of known or suspected violations or other incidents and responding t [read post]
28 Dec 2011, 2:03 pm by Lovechilde
The federal bill PRENDA allows for civil suits against the physicians. [read post]
22 Feb 2011, 5:02 am by Rebecca Shafer, J.D.
 Medical bill reviews include both the audits of doctor bill and hospital bill auditing. [read post]
30 Aug 2012, 7:03 am by The Health Law Firm
If you are concerned of any possible violations and would like a confidential consultation, contact a qualified health attorney familiar with medical billing and audits today.The Health Law Firm’s attorneys routinely represent physicians, hospitals, medical groups, clinics, pharmacies, ambulance services companies, durable medical equipment (DME) suppliers, home health agencies, nursing homes and other healthcare providers in Medicaid and Medicare investigations,… [read post]
12 May 2017, 6:20 pm by Cynthia Marcotte Stamer
Stamer is well-known for her extensive work and leadership throughout her career on HIPAA, FACTA, PCI, IRC and other tax, Social Security, GLB, trade secret, physician and other medical confidentiality and privacy, federal and state data security and data breach and other information privacy and data security rules and concerns. [read post]
8 Dec 2019, 9:00 am by Staff
Other MSO services including – auditing, payroll, sales and marketing, disaster management, quality assurance, financial management, and many other tasks and services. [read post]
27 Dec 2018, 2:00 pm by Robert Liles
”[9] This section of the Justice Manual further notes that this rationale applies “broadly in the healthcare arena” and expressly cites guidance documents issued by the Centers for Medicare and Medicaid Services (CMS) such as the agency’s Medicare Benefit Policy Manual and Local Coverage Determinations (LCDs) as relevant evidence that procedures may (or may not) be medically reasonable and necessary.[10] For example: “. . . if a primary care physician writes… [read post]