Search for: "Physicians Auditing "
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4 Dec 2016, 8:03 am
Reddy.Attorney Commentary: Physicians who work at nursing homes are held to the same standards as private practitioners in billing. [read post]
25 Sep 2012, 7:05 am
Obtain and keep copies of all applicable histories, physicals, care plans, physician orders, physician consults, etc. [read post]
13 Jan 2015, 8:25 am
Currently, the law prohibits new physician-owned hospitals, expansion of existing physician-owned hospitals, and an increase in the percentage of physician ownership in existing physician-owned hospitals. [read post]
20 Sep 2006, 6:57 am
RodrigueOn August 24, 2006, the Office of Inspector General (“OIG”) of the United States Department of Health and Human Services (“DHHS”), through its Office of Audit Services, issued a report finding that the Medicare Program overpaid an estimated twenty million dollars for non-physician radiology services provided to hospital inpatients. [read post]
3 Feb 2011, 4:02 am
Reports Mike Ward:Texas taxpayers are spending more on treating convicted criminals at a Galveston hospital than they are on law-abiding citizens in other parts of the state, a critical audit of spiraling prison health care costs reveals.Expected to be made public sometime today , the report by the State Auditor's Office also alleges that the University of Texas Medical Branch at Galveston charged the state's prison health care program for more than $16.2 million in costs… [read post]
7 Oct 2020, 6:56 am
The requirements for home health documentation change frequently and give rise to some of the common pitfalls in home health audits. [read post]
26 Nov 2012, 9:59 am
Abby Pendleton, Esq. and Jessica Gustafson, Esq. of the HLP were quoted in the November 12, 2012 issue of Physician's Money Digest in an article titled "Putting Practices on the RAC". [read post]
30 Oct 2009, 10:06 am
The RAC will review outpatient hospital and physician claims for: [read post]
2 Feb 2009, 11:37 am
CMS would otherwise require hospitals that receive the DFRR audit survey to complete the report and disclose information on their financial relationships with physicians. [read post]
2 Feb 2009, 11:37 am
CMS would otherwise require hospitals that receive the DFRR audit survey to complete the report and disclose information on their financial relationships with physicians. [read post]
30 Oct 2009, 10:06 am
The RAC will review outpatient hospital and physician claims for: [read post]
27 Apr 2011, 3:54 pm
Physicians 2. [read post]
29 Jan 2013, 4:26 am
This is preposterous behavior on the part of the carrier/administrators and if this practice is in fact becoming common place then the Audit Unit of the Division of Workers' Compensation (DWC) needs to step up enforcement in a prompt and heavy handed manner lest the entire system collapse from lack of physician participation due to these bone-headed tactics. [read post]
9 Jan 2021, 2:00 pm
While defending physicians and other health care providers in UPIC audits and government reviews, we have identified a relatively straight-forward approach for determining whether a particular claim qualifies for coverage and payment. [read post]
28 Mar 2016, 9:27 am
” Physicians, medical practices, other providers and healthcare businesses, and their business associates, should take steps to ensure they are current and compliant with respect to HIPAA requirements. [read post]
28 Mar 2016, 9:27 am
” Physicians, medical practices, other providers and healthcare businesses, and their business associates, should take steps to ensure they are current and compliant with respect to HIPAA requirements. [read post]
3 Jun 2020, 1:07 pm
Notably, many of these audits have focused on physician practices in the Rio Grande Valley. [read post]
14 Aug 2009, 1:16 pm
Most Medicare and Medi-Cal audits fall into one of three broad categories:(1) an audit during the application or updating of application process where there is an on-site visit and review of business records and typically only a limited number of claims;(2) prepayment audits (most common in Medicare), in which a review of claims is conducted before Medicare pays the physician, where carriers typically want to look at only one or two claims from each… [read post]
17 Apr 2012, 6:36 pm
If you need assistance with these or other compliance concerns, wish to inquire about arranging for compliance audit or training, or need legal representation on other matters please contact Ms. [read post]
23 Jul 2013, 6:18 am
Internal audits allegedly revealed widespread upcoding, i.e., physician coding of patient encounters at levels higher than evidenced in the corresponding medical records. [read post]
