Search for: "Physicians Auditing "
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19 Jul 2014, 12:16 pm
Audits were conducted of many diagnostic companies and once those audits were completed, some cases were referred to Office of Inspector General for criminal investigation.There have been many cases where radiologists who had a high number of reports were suspected of having technicians write the reports but this case was extreme in that the technician used radiologists' names where the radiologist did not interpret the test. [read post]
8 Jul 2013, 10:47 am
Physicians or other health care providers now have even more to worry about when a Medicare or other federal program audit reveals overpayments – repayment demands from commercial insurers and self-insured health plans, who are secondary payers. [read post]
26 Dec 2012, 11:12 am
A number of factors have arguably led to this trend including the desire by many physicians to focus their attention on practicing medicine and shifting the burden of billing, third party payor audits, EMR and compliance with the new myriad of federal healthcare regulations (e.g., Patient Protection and Affordable Care Act a/k/a "Obama Care") to the hospitals that have the resources to employ administrative staff to address such matters. [read post]
26 May 2017, 6:43 am
Raleigh Federal Criminal Defense Attorneys for Physicians and Health Care Providers If your business or practice is facing a federal investigation or health care contractor audit, we can help. [read post]
5 May 2008, 5:26 am
The Medicare recovery audit contractor (RAC) initiative is moving from pilot phase to national implementation, in stages. [read post]
19 Feb 2015, 5:30 am
If an audit subject’s PAR performance rating is 1.53447or higher, the audit will expand to a FCA, and an additional sample of indemnity claims will be audited. [read post]
5 Feb 2008, 4:20 pm
Many physician practices don’t hesitate to pick up the phone and call their Medicare carrier provider representative for guidance. [read post]
3 Aug 2012, 7:52 am
“Prepayment Audits Start Aug. 27. [read post]
23 Apr 2016, 8:29 am
I have seen an increase in the number of audits for even small providers since it is much simpler to see patterns in billing that trigger red flag audits. [read post]
7 Jan 2013, 2:45 pm
Required Physician participation (in person, by phone) Documented Care Plan goals developed during the meeting Are the goals specific, detailed, and understandable, and include time frames and expected outcomes. [read post]
29 Dec 2015, 7:47 am
There will be a move to require Medicare patients to use HMO services and to rely on large chains rather than small providers who are harder to audit, tend to have a higher rate of audit issues and have trouble making repayment in the event of any alleged overpayments.Posted by Tracy Green, Esq.Office: 213-233-2261 [read post]
8 Apr 2009, 10:09 am
The targets of these audit investigations often extend not only to pharmacies, but physicians who issue a large number of prescriptions for expensive medications. [read post]
21 Dec 2016, 9:00 am
., Board Certified by The Florida Bar in Health Law We continue to receive calls from physicians and other Medicare providers who have had their Medicare billing privileges revoked or terminated because their address information is not up to date or is incomplete. [read post]
21 Dec 2016, 9:00 am
., Board Certified by The Florida Bar in Health Law We continue to receive calls from physicians and other Medicare providers who have had their Medicare billing privileges revoked or terminated because their address information is not up to date or is incomplete. [read post]
21 Dec 2016, 9:00 am
., Board Certified by The Florida Bar in Health Law We continue to receive calls from physicians and other Medicare providers who have had their Medicare billing privileges revoked or terminated because their address information is not up to date or is incomplete. [read post]
4 Apr 2009, 3:56 pm
The New York Times published an article on April 1, 2009 about how physicians -- particularly specialists including internists -- are opting out of Medicare. [read post]
22 Jun 2010, 1:08 pm
Pain physicians are well advised to pay careful attention to compliance as we predict an increase in Medicare, RAC and other payor audits of this specialty For more information on compliance or other healthcare law matters , feel free to contact Abby Pendleton, Esq., Carey F. [read post]
29 May 2012, 2:23 am
., vacated a district court’s decision that found a qui tam suit barred by the public disclosure of allegations concerning physician oversight of hospital residents. [read post]
23 Jun 2013, 2:00 am
“Quality Measurements, Payment, and the Law: Disincentives to Physician-Patient Discussions of End-of-Life Care” is the title of a new article by Missouri health lawyer Harvey M. [read post]
3 Jan 2021, 3:07 pm
Today, a number of physician practices and clinics have integrated multiplex PCR testing systems into their outpatient practices. [read post]
