Search for: "Physicians Auditing "
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24 May 2022, 11:28 pm
MACs primarily rely on data mining expertise for audit targeting purposes. [read post]
12 May 2022, 6:59 am
The physician’s conduct has been linked to approximately $5.1 million in fraudulent claims. [read post]
9 May 2022, 5:30 am
Here are our leading legal headlines for the week of May 9, 2022 from Wise Law on Twitter:Supreme Court has voted to overturn abortion rights, draft opinion shows - POLITICOOklahoma bans abortions after about six weeks of pregnancyOntario College of Physicians suspends rural family doctor, Patrick Phillips, for 'inappropriate' COVID-19 treatments, adviceFor Chief Justice John Roberts, the disclosure of the court's draft abortion opinion is a disaster of the highest… [read post]
3 May 2022, 11:34 am
To be clear, Xiulu Ruan, is no ordinary physician. [read post]
29 Apr 2022, 11:10 am
As these decisions are likely to significantly impact the policies, practices, recordkeeping, breach investigation and other obligations that Covered Entities would need to meet in the event of an audit, breach or other investigation or enforcement, timely, thoughtful input from all Covered Entities and affected stakeholders is important. [read post]
26 Apr 2022, 12:12 pm
Rivers will the provide updates on the health plan eligibility, COVID emergency orders, surprise billing, mental health parity and other Department of Labor regulatory, compliance, audit, enforcement priorities and other health plan projects and developments. [read post]
26 Apr 2022, 11:48 am
The Health Insurance Marketplaces 2022 Open Enrollment Report (“Report”) published by the Centers for Medicare and Medicaid Services last month reveals the 2022 Open Enrollment Period (“2022 OEP”) produced the highest enrollment in health care marketplace plans since passage of the Patient Protection and Affordable Care Act (“ACA”) 12 years ago. [read post]
22 Apr 2022, 7:51 am
Even though the government has gone out of its way to reaffirm its position that physicians should not be reluctant to provide legitimate pain relief, [1] the government’s opioid abuse enforcement efforts have had a significant chilling effect on physicians’ pain medication prescribing practices. [read post]
29 Mar 2022, 5:04 pm
Employer and other group health plan sponsors, fiduciaries, administrators and insurers should prepare their plans and their administrators to respond appropriately to today’s (3/29/2022) U.S. [read post]
25 Mar 2022, 2:09 am
Perform a privacy audit on your social media accounts, ensuring personal information is only shared with its intended audience. [read post]
20 Mar 2022, 9:14 am
Physicians accounted for only 9% of the permissive exclusions, while business owners only accounted for 3%. [read post]
20 Mar 2022, 9:14 am
Physicians accounted for only 9% of the permissive exclusions, while business owners only accounted for 3%. [read post]
17 Mar 2022, 11:17 am
DOD and other governmental contractors and subcontractors are encouraged to review their compliance plans, practices and documentation to confirm their readiness to defend a potential audit or enforcement action. [read post]
15 Mar 2022, 11:11 am
’s Ankura Consulting LLC’s Criminal Conduct Continues – Asbestos Trusts Fund Theft Despite multiple lawsuits being filed against Ankura Consulting LLC in 2021 for “sham audits” by noted and esteemed radiologists and physicians in 2021, Washington D.C. [read post]
4 Mar 2022, 1:19 pm
She supports her clients both on a real-time, “on demand” basis and with longer term basis to deal with all aspects for workforce and human resources management, including, recruitment, hiring, firing, compensation and benefits, promotion, discipline, Form I-9 and other compliance, trade secret and confidentiality, noncompetition, privacy and data security, safety, daily performance and operations management, internal controls, emerging crises, strategic planning, process improvement and… [read post]
3 Mar 2022, 9:32 pm
This involvement encompasses helping health care systems and organizations, group and individual health care providers, health plans and insurers, health IT, life sciences and other health industry clients prevent, investigate, manage and resolve sexual assault, abuse, harassment and other organizational, provider and employee misconduct and other performance and behavior; manage Section 1557, Civil Rights Act and other discrimination and accommodation, and other… [read post]
28 Feb 2022, 9:51 am
The U.S Department of Homeland Security is inviting public comment on proposed regulations (the “Proposed Rule”) defining the rules DHS will apply to decide when a noncitizen is inadmissible to the United States under section 212(a)(4) of the Immigration and Nationality Act (INA) because the person is likely at any time to become a “public charge. [read post]
24 Feb 2022, 9:05 pm
Finally, because the COVID-19 health care emergency disrupted the normal operations and staffing of many employers, most employers also will want to audit the expiration dates, if any of any time limited eligibility documents presented by their employees to ensure that timely steps are taken to notify and secure updated eligibility documentation for employees whose employment relies upon those expiring documents. [read post]
18 Feb 2022, 9:56 am
Vahedi’s actions during an audit. [read post]
17 Feb 2022, 9:09 am
She supports her clients both on a real-time, “on demand” basis and with longer term basis to deal with all aspects for workforce and human resources management, including, recruitment, hiring, firing, compensation and benefits, promotion, discipline, compliance, trade secret and confidentiality, noncompetition, privacy and data security, safety, daily performance and operations management, emerging crises, strategic planning, process improvement and change management, investigations,… [read post]
