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1 Aug 2023, 7:30 am by Public Employment Law Press
In addition to the monthly premiums, MCOs can receive a one-time Supplemental Maternity Capitation Payment (SMCP) for the prenatal and postpartum physician care and hospital or birthing center delivery costs associated with the maternity care of a recipient. [read post]
29 Feb 2004, 10:00 pm
This guidance addresses several coverage issues, and elaborates on two issues of particular concern for hospital providers in the wake of OIG’s reports: (1) Medicare’s physician supervision requirement for cardiac rehabilitation services, and (2) the requirement for providing such services incident to a physician’s professional services. [read post]
29 Feb 2004, 10:00 pm
This guidance addresses several coverage issues, and elaborates on two issues of particular concern for hospital providers in the wake of OIG’s reports: (1) Medicare’s physician supervision requirement for cardiac rehabilitation services, and (2) the requirement for providing such services incident to a physician’s professional services. [read post]
20 Jun 2013, 12:41 pm
If you need assistance defending a Medicare audit or need help creating a compliance plan to address pain management risk areas, please contact an experienced healthcare attorney at 248-544-0888. [read post]
16 Oct 2012, 1:21 am by David S. Dessen, Esq.
The expansion of recovery audits to physicians and other practitioners who participate in Medicare Part B raise two questions, the answers to which may have a profound impact on the Medicare program. [read post]
16 Oct 2012, 1:21 am by David S. Dessen, Esq.
The expansion of recovery audits to physicians and other practitioners who participate in Medicare Part B raise two questions, the answers to which may have a profound impact on the Medicare program. [read post]
16 Oct 2012, 1:21 am by David S. Dessen, Esq.
The expansion of recovery audits to physicians and other practitioners who participate in Medicare Part B raise two questions, the answers to which may have a profound impact on the Medicare program. [read post]
16 Oct 2019, 2:33 pm by Robert Liles
  Every Dental Practice Must Develop and Implement an Effective Compliance Program: As you will recall, the Department of Health & Human Services (HHS), Office of Inspector General (OIG), issued voluntary Compliance Guidance for Individual and Small Group Physician Practices” almost 20 years ago, in 2000.[6]  As the seven element compliance guidance reflects, the term “physician” is defined to include “a doctor of dental surgery or dental… [read post]
4 Dec 2008, 12:05 pm
When these physicians provided services to Empire Plan members, the Comptroller said that the physicians should have been reimbursed at the agreed upon rates for participating providers. [read post]
30 Jan 2012, 7:58 am by Todd Rodriguez
  If you're not sure whether or how Pennsylvania's sales and use tax applies, I recommend that you give your accountant or attorney a call since the Pennsylvania Department of Treasury is currently conducting sales and use tax audits of physician practices. [read post]
15 May 2013, 2:06 pm
The Recovery Audit Contractor (RAC) for Region D, HDI, recently added "Face-to-Face Evaluation for Recertification of Hospice Care" as an approved audit issue. [read post]
3 Jul 2014, 2:23 pm
Failure to meet this standard or any of the other certification requirements could result in an increased risk of claims being denied by Medicare audit contractors. [read post]
13 May 2014, 5:04 am by The Public Employment Law Press
The Comptroller has the authority to review and report on the billing practices of a medical provider not a participating physician within the NYSHIP Empire Plan networkMartin H. [read post]
20 Mar 2017, 8:02 am by Kevin S. Little
  Indeed, in the event of an audit, the Internal Revenue Service relies upon 20 factors to evaluate whether it will deem a contracted physician to be an employee versus an independent contractor. [read post]
27 Dec 2015, 11:15 am by Green and Associates
 It is also important in places like California to be disaster ready and show that there is contingency planning.If there is an audit for HIPAA, it is like any other audit in that there are findings. [read post]
4 Mar 2013, 2:17 am by thehealthlawfirm
., Board Certified by The Florida Bar in Health Law We have recently received numerous communications from health care professionals, including physicians, physical therapists, occupational therapists, mental health counselors, durable medical equipment (DME) … Continue reading → [read post]