Search for: "Physicians Auditing "
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25 Jan 2022, 8:13 am
In addition, CleanSlate agreed to enter into an multi-year independent compliance program with annual audits reported to the Massachusetts Attorney General. [read post]
24 Jan 2022, 12:58 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, 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]
18 Jan 2022, 3:54 pm
’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]
30 Dec 2021, 12:03 pm
Wilson also engaged in practices that led to backdating of prescriptions for Suboxone by physicians. [read post]
20 Dec 2021, 4:44 pm
Health plans, their employer and other health plan sponsors, fiduciaries and vendors as well as health care providers, healthcare clearinghouses, their vendors that are business associates covered by the Privacy, Security and Breach Notification Rules of the Health Insurance Portability & Accountability Act (“HIPAA”) are urged to act promptly to take well-documented steps to confirm and protect electronic protected health information and systems against the increasingly common… [read post]
6 Dec 2021, 8:18 am
March 7, 2016 FTC issued orders to 9 companies that conduct Payment Card Industry Data Security Standards (PCI DSS) audits seeking information on the auditing of payment card companies. [read post]
1 Dec 2021, 7:45 am
MCOs can also receive a one-time Supplemental Maternity Capitation Payment (SMCP) for prenatal and postpartum physician care and delivery costs. [read post]
1 Dec 2021, 7:45 am
MCOs can also receive a one-time Supplemental Maternity Capitation Payment (SMCP) for prenatal and postpartum physician care and delivery costs. [read post]
17 Nov 2021, 2:44 pm
Employer-based health plans, health insurance issuers, and other group health plans should begin preparing to report prescription drug and health coverage costs data for prescription drugs covered by their programs after December 31, 2021 required by an interim final rule with request for comments issued by the Departments of Health and Human Services (HHS), Labor, the Treasury (collectively, the Departments), and the Office of Personnel Management today. [read post]
4 Nov 2021, 7:03 pm
Cir. 2020), the government brought suit against a home health care provider after a routine audit revealed it was unable to substantiate any of the Medicaid reimbursement claims it submitted. [read post]
31 Oct 2021, 9:00 pm
L. [read post]
31 Oct 2021, 9:00 pm
L. [read post]
11 Oct 2021, 7:59 pm
In the face of these added liabilities, federal contractors and grant recipients should act quickly to audit their cyber security and cyber breach practices, tighten cyber security and breach detection; oversight, credentialing and controls over employees, contractors and others with access to facilities and systems and take other appropriate action to prevent and remediate compliance deficiencies and risks. [read post]
1 Oct 2021, 9:19 am
PHR Vendors also may wish to consider reviewing and strengthening contractual requirements for compliance, notification, audit and other vendor safeguarads. [read post]
30 Sep 2021, 4:50 pm
Yesterday’s release by the Departments of Labor, Health and Human Services, Treasury and the Office of Personnel Management (“Agencies”) release yesterday (September 30, 2021) an a third interim final rule (“3rd Rule”) implementing requirements applicable to health plans and health care providers enacted under the No Surprises Act (the “Act) warns health plans, their employer and other sponsors, insurers, fiduciaries and service providers time is running out to… [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]
8 Sep 2021, 6:10 am
” The government’s complaint continues: Sutter and [its affiliate] knowingly ignored numerous red flags regarding false claims, statements, records and overpayments, raised by audits conducted by their own employees, feedback provided by physicians treating MA patients, and audits and warnings by MA Organizations. [read post]
4 Sep 2021, 8:00 am
Listen Here! [read post]
20 Aug 2021, 11:31 am
But that has proven difficult to accomplish, in part due to physician profit motives in the U.S. healthcare reimbursement system. [read post]
17 Aug 2021, 8:30 am
” Click on the text below highlighted in color to access the complete audit report. [read post]
