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22 Jan 2018, 9:17 am
Personal Care Services Are Under the Government’s Microscope (January 22, 2018): The Department of Health and Human Services, Office of Inspector General (HHS-OIG) has conducted numerous audits, evaluations, and investigations involving the provision of “ personal care services ” to Medicaid beneficiaries. [read post]
27 Mar 2020, 7:53 am
DOJ is Aggressively Investigating Allegations of Wrongdoing Related to COVID-19 Fraud and the Current National Emergency (March 27, 2019): We live in trying times. [read post]
12 Jul 2018, 12:00 pm
Is Your Urogynecology, OB/GYN or Multidisciplinary Practice Prepared for a Medicare Biofeedback Claims Audit or a Pelvic Floor Therapy Claims Audit? [read post]
10 Dec 2018, 7:19 am
Mobile Dentistry in Texas – An Overview of Regulatory Risk Areas to be Considered(December 7, 2018): Each state sets their own licensure requirements, rules and regulations regarding the practice of dentistry, all of which are subject to change. [read post]
30 Mar 2020, 3:07 pm
Operating a Medical Practice in Texas during the COVID-19 Pandemic (March 30, 2020): The COVID-19 pandemic is unprecedented and has resulted in President Trump declaring a National Emergency[1] and Secretary Alex Azar, of the US Department of Health & Human Services (HHS) to declare a public health emergency[2] for the nation. [read post]
3 Jun 2020, 1:07 pm
Medicaid After-Hours Claims Audits (CPT Code 99050 / CPT Code 99051) by State Medicaid Regulators are Continuing. [read post]
12 Jul 2018, 12:00 pm
Is Your Urogynecology, OB/GYN or Multidisciplinary Practice Prepared for a Medicare Biofeedback Claims Audit or a Pelvic Floor Therapy Claims Audit? [read post]
27 Jun 2018, 3:56 pm
Is ePHI Encryption Required? [read post]
3 Jul 2018, 9:00 am
UPIC Dental Audits / Qlarant Dental Audits Have Been Initiated. [read post]
29 May 2023, 10:00 am
Medicare Advantage Plans are Aggressively Denying Claims – Administrative Appeals are Growing (May 25, 2023): According to the latest data released by the Centers for Medicare and Medicaid Services (CMS), beneficiaries participating in Medicare Advantage[1] plans now surpass those enrolled in original Medicare plans. [read post]
25 Sep 2020, 11:41 am
Telemedicine Related Medicare Revocation Actions for Failure to Provide Access to Documentation are on the Rise! [read post]
12 May 2022, 6:59 am
State and Federal Hospice Audit and Investigation Efforts are Expanding in 2022 (May 12, 2022): Hospice agencies are again the focus of both state and federal investigators and prosecutors around the country. [read post]
8 May 2023, 12:28 am
Medicare Exclusion Risks: Employing Excluded Individuals Can Result in Significant Administrative, Civil and / or Criminal Liabilities (May 8, 2023): One of the most severe administrative sanctions available under the Social Security Act stems from the authority of the Office of the Inspector General (OIG) of the Department of Health and Human Services (HHS)[1] to “exclude” individuals and entities from participating in Federal health care programs.[2] While the… [read post]
24 May 2022, 11:28 pm
Balloon Sinuplasty Fraud / Balloon Dilation Fraud Prosecutions are Increasing Around the Country (May 25, 2022): In recent years, federal regulators have initiated a significant number of audits and investigations examining the improper billing of claims for balloon sinuplasty / balloon dilation procedures by Otolaryngologists (commonly referred to as Ear, Nose and Throat (ENT) physicians. [read post]
8 Feb 2019, 6:00 am
OIG’s Renewed Interest in Orthotics: What Your DME Company Needs to Know and Do A series of recent reports out of the Office of Inspector General (OIG) underscores the federal government’s renewed concerns with respect to orthotic braces, including underlying medical need for these items. [read post]
8 Feb 2019, 6:00 am
OIG’s Renewed Interest in Orthotic Audits and Investigations: What Your DME Company Needs to Know (February 8, 2019): A series of recent reports out of the Department of Health and Human Services (HHS), Office of Inspector General (OIG) underscores the Federal government’s renewed concerns with respect to orthotic braces, including underlying medical need for these items. [read post]
2 Dec 2019, 1:03 pm
Liles Parker PLLC [read post]
8 Feb 2022, 10:28 am
Our sponsors & partners Liles Parker PLLC [read post]
20 Mar 2022, 9:14 am
The OIG Exclusion List of Individuals and Entities is Growing. [read post]
20 Mar 2022, 9:14 am
The OIG Exclusion List of Individuals and Entities is Growing. [read post]
