Audit Zone Archives | Page 2 of 3 | First Healthcare Compliance

Complying with Stark Law: Can you bill Medicare when treating your family members?

The treatment of family members falls under General Exclusions from Coverage under Medicare. No payment will be made for items or services for a family member when the charge is…

How would your staff react to an auditor or investigator?

Audits and investigations are stressful events either with or without prior notice. Medical staff should be prepared for an unannounced visit. First Healthcare Compliance provides a sample policy that assists…

Avoiding Overutilization vs. Patient Satisfaction: What’s a provider to do?

An increasingly important issue for many providers is the dilemma of providing care that is satisfactory to the patient while avoiding overutilization and its effect on reimbursement. Unfortunately, the patient’s…

Do Any of Your Medicare Patients Meet the Newly Approved Lung Cancer Screening Requirements With Low Dose Computed Tomography (LDCT)?

Lung cancer is the leading cause of cancer deaths in the United States and third in overall cancer incidence according to 2013 National Cancer Institute statistics. Fortunately, newly approved preventive…

Are You Familiar With the New CMS Payment Model?

The new CMS payment model ties reimbursement to value instead of volume. The focus is on developing a payment method based on quality and improvement of the delivery of care.…

Healthcare Compliance - Incidicent Medicare

Are You Aware of the New OSHA Reporting Requirements?

All employers under Federal OSHA jurisdiction are required to report any work-related fatality within 8 hours. As of January 1, 2015, all employers are also required to report any work…

Healthcare Compliance -Claims and Procedures

$22 M of Potential Fraud, Waste and Abuse Discovered in 2012 Medicare Ophthalmology Claims

In 2012, approximately 49 million Medicare claims were related to screening, diagnosis or treatment of cataracts, wet acute macular degeneration and/or glaucoma. Medicare paid approximately $3.5 billion for these particular…

Healthcare Compliance -Comprehensive Strategy

CMS Just Announced New Provider Enrollment Provisions

As of December 3, 2014, new safeguards have been added to the CMS provider enrollment policies. CMS continues to focus on prevention of Medicare fraud, waste and abuse as part…

Are You Billing for Home Care Visits?

Physician home visits are under scrutiny by CMS for any possible fraud. In 2012, Medicare paid home care service providers about $236 million. As the population of Medicare age recipients…

What Should You Do After Discovering a Billing Error?

Just correct the problem and you will be compliant? No, but this is the first step in the right direction. According to the HHS in “A Roadmap for New Physicians…

Testimonials

Neil S. Kalin, MDKalin Eye Associates, Newark, DE
I’d been searching for a compliance plan for many years. The First Healthcare Compliance solution is cost-effective and efficient. All of the compliance materials are in one place.
Robert Henry, PA-C, CEOAmbient Care, Seaford, DE
In an era of ever changing regulations, First Healthcare Compliance has given us the tools to seamlessly and efficiently stay on top of our compliance requirements. This allows us more time to focus on patient care and other aspects of practice management.
R.K. Conell, Practice ManagerAlexiou Hearing and Sinus Center, PLC and Harrisonburg Dermatology, PLC, Harrisonburg, VA
The First Healthcare Compliance solution has everything you need to get started. It helps a practice become compliant on a very timely basis. Without this, it would have been a very extensive and intensive process.
Anne Elkin, EsquirePractice Manager, Boothwyn Medical Associates
The solution has been a great help to our practice. We can now organize all our compliance data in one place.
Paul Smiley, NHAAdministrator, Gilpin Hall
The First Healthcare Compliance solution offers a simple and effective centralized system to access and assemble our compliance data with minimal effort and maximum return. I highly recommend it!
Mary Ann Tyler, Practice AdministratorSinclair Retina Associates, PC, Media, PA
Compliance in all areas always seemed to take a back seat to day to day operations. First Healthcare Compliance has developed a solution that easily brings any size office into compliance. It gives me peace of mind.
Dr. Marc D. Grobman, DO FACPInternal Medicine & Primary Care, Wilmington, DE
Using this solution, I am confident that I am meeting the guidelines or that I can seek help for areas in which I cannot perform the requirements on my own.
Kris Jones-Bartley, CPCPresident,
Healthcare Management System
The First Healthcare Compliance solution allows our business and our clients to save time and money, and mitigate compliance risks. I highly recommend it to other healthcare billing companies.

Audit Zone