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19 Jan 2021, 8:43 pm by Robert Liles
It is therefore essential that home health agencies, physician practices and other health care providers and suppliers understand the prepayment review process and are prepared to appropriately respond to an document request if a MAC, a RAC or another CMS contractor initiates a prepayment audit of their claims. [read post]
19 Jan 2021, 8:43 pm by Robert Liles
It is therefore essential that home health agencies, physician practices and other health care providers and suppliers understand the prepayment review process and are prepared to appropriately respond to an document request if a MAC, a RAC or another CMS contractor initiates a prepayment audit of their claims. [read post]
13 Jan 2021, 8:47 pm by Robert Liles
Physician-extenders such as Nurse Practitioners (NPs) and Physician Assistants (PAs) are also commonly employed in these multidisciplinary practices and clinics. [read post]
13 Jan 2021, 8:47 pm by Robert Liles
Physician-extenders such as Nurse Practitioners (NPs) and Physician Assistants (PAs) are also commonly employed in these multidisciplinary practices and clinics. [read post]
13 Jan 2021, 8:47 pm by Robert Liles
Physician-extenders such as Nurse Practitioners (NPs) and Physician Assistants (PAs) are also commonly employed in these multidisciplinary practices and clinics. [read post]
9 Jan 2021, 2:00 pm by Robert Liles
  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]
Finally, regulations have been issued to permit hospitals and health systems to donate cybersecurity technology to physician practices. [read post]
3 Jan 2021, 3:07 pm by Robert Liles
  Today, a number of physician practices and clinics have integrated multiplex PCR testing systems into their outpatient practices. [read post]
Title I – Healthcare Foley Title I Contacts: Judy Waltz, Rachel Goodman One-time, one-year Increase to Physician Fee Schedule payments for 2021 The legislation creates a one-time, one-year, 3.75 percent increase in Medicare Physician Fee Schedule payments to support physicians and other clinicians. [read post]
21 Oct 2020, 6:00 am by Elin Hofverberg
In October 2020, the FHM issued a regulation that provided that untested suspected cases of COVID-19 should not be reported to the regional infectious disease control physician (smittskyddsläkare). [read post]
19 Oct 2020, 10:14 am by Wachler & Associates, P.C.
Not only are Medicare audits resuming, but private payors have also resumed audits. [read post]
7 Oct 2020, 6:56 am by Wachler & Associates, P.C.
The requirements for home health documentation change frequently and give rise to some of the common pitfalls in home health audits. [read post]
28 Sep 2020, 8:58 am by Robert Liles
Home Health Revocation Actions by Medicare are Expanding Around the Country (September 28, 2020):  Last September, CMS published a Final Rule titled “Medicare, Medicaid, and Children’s Health Insurance Programs; Program Integrity Enhancements to the Provider Enrollment Process. [read post]
28 Sep 2020, 8:58 am by Robert Liles
Home Health Revocation Actions by Medicare are Expanding Around the Country (September 28, 2020):  Last September, CMS published a Final Rule titled “Medicare, Medicaid, and Children’s Health Insurance Programs; Program Integrity Enhancements to the Provider Enrollment Process. [read post]
25 Sep 2020, 11:41 am by Robert Liles
 A number of physicians, nurse practitioners and physician assistants have taken advantage of the chance to participate in the gig economy, working virtually and providing telemedicine services for patients. [read post]
25 Sep 2020, 11:41 am by Robert Liles
 A number of physicians, nurse practitioners and physician assistants have taken advantage of the chance to participate in the gig economy, working virtually and providing telemedicine services for patients. [read post]
18 Sep 2020, 5:01 am by Unknown
The distinction matters, so it is best to do some background checks and research just as one would do when looking for a physician or roofer. [read post]
14 Sep 2020, 6:42 am by The Health Law Partners
  This documentation is most frequently maintained by the physicians who provided presurgical care to the patients and is oftentimes not part of the hospitals’ records. [read post]
12 Sep 2020, 11:46 am by Robert Liles
 Unlike most relationships where a physician has been engaged to serve as Medical Director, the physician in this case was paid only a nominal salary. [read post]