Search for: "Physicians Auditing "
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2 Feb 2017, 6:04 pm
In a letter dated August 22, 2011, from Children’s Vice President of Compliance and Internal Audit and Chief Compliance Officer Ron Skillens to OCR Equal Opportunity Specialist Jamie Sorley, Mr. [read post]
27 Oct 2016, 8:48 am
Compliance with the Privacy and Security Rules of the Health Insurance Portability & Accountability Act (HIPAA) is a living process that requires employer and other health plans, health insurers, health care providers and healthcare clearinghouses to recurrently reevaluate their HIPAA enterprise risk and timely act to mitigate security threats to electronic (ePHI) and other protected health information and other HIPAA compliance concerns on an ongoing basis. [read post]
24 Jun 2013, 8:55 am
About 10% of all spinal fusions paid for by Medicare in 2011 were not necessary, either because there was no medical basis for them or because doctors did not follow standards of care by exploring non-surgical treatments, according to a USA TODAY analysis of data from Medicare program audits. [read post]
6 Aug 2013, 6:30 am
If the employer notices a continuing pattern of large reserve adjustments on the claim files right before or when the claim closes, a claim file audit should be completed. [read post]
13 Aug 2020, 12:15 pm
” Students in cyber clinics create interdisciplinary teams, perform threat assessments, security audits, implement risk-mitigation strategies and craft policy to defend civil society organizations from cyber threats. [read post]
15 Oct 2015, 1:08 pm
., is physician based in Petersburg, Virginia, who conducts business under the name "The Peterburg Spine Center. [read post]
1 Oct 2014, 8:44 pm
Regular auditing and actuarial reserve analysis will be necessary to ensure that there are no unknown financial liabilities lurking beneath the surface and to give the excess carrier the requisite assurance that the program is running smoothly. [read post]
18 Nov 2018, 8:30 pm
In its Atrium complaint, the Justice Department asserts that Atrium’s steering restrictions harm payers and consumers in violation of federal antitrust laws by obstructing the ability of insurers to design health benefit plans that give patients financial incentives to choose more cost-effective hospitals and physicians. [read post]
18 May 2012, 1:14 pm
Accordingly, retail pharmacies and the physician and other providers prescribing medications likely to be billed should tighten documentation and other procedures to defend against possible medical necessity and other challenges. [read post]
9 Feb 2007, 12:39 am
Chris Van Hollen Letter requests information regarding NIH's actions to deal with asbestos contamination in a number of the agency's buildings 02/08/2007
Highlights of Work by the House Energy and Commerce Committee's Oversight & Investigations Subcommittee 2001 Through 2006 (PDF 82.8 KB) Report prepared by the minority staff of the House Energy and Commerce Committee HEALTH02/08/2007
Letter to CMS Acting Administrator Leslie Norwalk from the Senate Finance… [read post]
24 May 2019, 10:46 pm
Stamer also is widely recognized for her extensive work and leadership on leading edge health care and benefit policy and operational issues including meaningful use and EMR, billing and reimbursement, quality measurement and reimbursement, HIPAA, FACTA, PCI, 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 many other concerns. [read post]
20 May 2019, 2:13 am
(Act on the Protection of Children and Youth against Sex Offenses in Korea, and the Act on Special Cases Concerning the Punishment, etc. in Korea);Act by a physician or medical personnel of acquiring any economic benefit from a pharmaceutical company in exchange for the use and/or prescription of its product(s), and the act by a non-medical personnel of establishing a medical institution (Korean Medical Service Act);Acquiring any benefit by obtaining permission for the “conversion of… [read post]
18 Jan 2012, 3:12 pm
Under HIPAA, covered entities are defined as health plans, health clearing houses, and certain health care providers, such as hospitals and physicians. [read post]
10 Sep 2021, 11:15 am
These whistleblowers include coders, auditors, billers, record managers, physicians, compliance professionals, vendors, and even MA plan executives. [read post]
23 Mar 2010, 9:52 am
Hospitals and physicians use EMRs. [read post]
9 Nov 2009, 7:00 am
A compliance plan and audit is important to avoid these type of allegations and charges. [read post]
1 Oct 2012, 10:44 am
The prescriptions had the same patient names, and the telephone number listed on the prescription belonged to a suspected drug abuser, not a physician. [read post]
31 Jan 2007, 5:43 am
It's a bit worrisome, isn't it, if a pharmacist, nurse, or physician cannot tell the difference between 5 mg and 500 mg, or 10 cc compared with 100 cc. [read post]
5 Oct 2010, 3:26 pm
The organization may accomplish this component by utilizing monitoring and auditing systems reasonably designed to detect criminal, civil, and administrative violations by its employees and other agents. [read post]
4 Jul 2009, 4:35 pm
The family had scheduled a Florida vacation so Ma Rhonda Collins could audition for the American Idol TV show in Orlando next week, said Cheryl Collins' sister, Polly Inman. [read post]
