Search for: "Lile International Companies"
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19 May 2021, 6:16 am
Is Your Company at Risk? [read post]
27 Oct 2014, 9:34 am
Liles, Fla: Dist. [read post]
8 Feb 2019, 6:00 am
Our attorneys can assist you if you have received notice from your local UPIC, or if you are interested in taking proactive steps, like developing a compliance plan or auditing your claims internally. [read post]
8 Feb 2019, 6:00 am
OIG’s Renewed Interest in Orthotic Audits and Investigations: What Your DME Company Needs to Know (February 8, 2019): A series of recent reports out of the Department of Health and Human Services (HHS), Office of Inspector General (OIG) underscores the Federal government’s renewed concerns with respect to orthotic braces, including underlying medical need for these items. [read post]
4 Mar 2020, 11:31 am
Notably, several large private dental management companies, such as DentaQuest and Delta Dental also currently serve as dental plan administrators for various state Medicaid Advantage dental plans around the country.[2] SIUs at DentaQuest, Delta Dental and other dental plan administrators have implemented a number of measures to identify and investigate instances of suspected fraud or improper dental billing practices. [read post]
10 Dec 2018, 7:19 am
Mobile Dentistry in Texas – An Overview of Regulatory Risk Areas to be Considered(December 7, 2018): Each state sets their own licensure requirements, rules and regulations regarding the practice of dentistry, all of which are subject to change. [read post]
16 Jul 2018, 12:47 pm
UPIC reviews of transcranial magnetic stimulation claims.UPICs are private, for-profit companies that awarded contracts to provide program integrity services for the Centers for Medicare and Medicaid Services (CMS). [read post]
12 Sep 2020, 11:46 am
In exchange for the referral of their residents for medical and clinical services (often in the form of drug screen testing), sober home and recovery home owners, operators (and affiliated Medical Directors) have received a “referral fee” or kickback from the servicing health care provider or supplier who then bills the resident’s insurance company for payment. [read post]
13 Aug 2019, 1:28 pm
This ultimately led to the 1990 formation of an international scientific research effort that became known as the “Human Genome Project” (HGP). [read post]
20 Mar 2022, 9:14 am
Transportation services including ambulance company dispatchers. [read post]
20 Mar 2022, 9:14 am
Transportation services including ambulance company dispatchers. [read post]
17 Feb 2020, 9:01 am
The proceeds of the fraudulent scheme were allegedly laundered through international shell corporations and used to purchase exotic automobiles, yachts and luxury real estate in the United States and abroad. [read post]
3 Jun 2020, 1:07 pm
Alabama Although not as recent as the cases currently being pursued in Texas and New Jersey, it is worth noting that a Federal case out of the Northern District of Alabama held that a healthcare provider had improperly used the after-hours billing code for weekend visits when the clinic’s normal business hours, as advertised on the clinic’s website and written to all insurance companies, were 7 days a week from 8:00 am to 6:00 pm.[10] South Carolina Th [read post]
3 Jul 2018, 9:00 am
Virtually all of these private sector companies have previously been awarded one or more prior CMS audit contracts. [read post]
12 Apr 2018, 8:48 am
Why Was My DME Company Included in this Review? [read post]
26 Jan 2023, 8:27 am
Unfortunately, providers are inundated with correspondence from CMS and insurance companies and other potential auditors, so it can be easy to miss. [read post]
9 Jan 2021, 2:00 pm
We recommend that you either engage a qualified third-party billing company to assist you with coding and billing or ensure that your in-house staff members handling these duties are experienced and provided regular opportunities for updated training. [read post]
16 Oct 2019, 2:33 pm
The government alleged that the defendants falsified took steps to conceal the fraud, including: (1) Disciplining or firing employees who asked questions about whether the billing practices were correct or legal, (2) Instructing practice employees to tell patients and representatives from insurance companies that if the practice had billed for work that had not been done, it was simply a billing error and would be corrected, when, in fact, it was the routine practice of the… [read post]
25 Jan 2024, 5:31 am
Health Care Provider Risks When Ordering and Billing Chelation Therapy Services (January 25, 2024): Although chelation therapy[1] has played an important role in mainstream medicine for many years,[2] it is still considered by many clinicians and regulators to fall within the category of "Complementary and Alternative Medicine. [read post]
23 Mar 2020, 1:28 pm
Recent Developments in Personal Care and Other Home and Community-Based Services in Medicaid and Medicare I. [read post]
