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…
Are You Aware of the Updated CMS Timeline for Meaningful Use?
Recent CMS modification allows more flexibility in certified EHR technology for 2014. Participation by providers will likely increase as will the ability to meet objectives such as e-prescribing, reporting quality…
OIG Special Fraud Alert Regarding Laboratories Payments to Referring Physicians
The OIG scrutinizes referring physician and laboratory arrangements. Two scenarios that involve transfer of value from laboratories to physicians are highlighted. These scenarios could represent possible fraud and abuse under…
Improper Payments for Evaluation & Management Services Cost Medicare Billions in 2010
According to the Office of the Inspector General’s report for 2010, Evaluation and Management services accounted for 30% of Medicare Part B payments, a total cost of $32.3 billion. However,…
What The Medicare Claims Data Could Mean To Your Practice
The recently released information on physicians’ billing practices with Medicare has sparked some interesting discussion on the data analysis. In 2012, 880,000 healthcare providers billed Medicare for $77B. A rheumatologist…
Have you reviewed the focus areas in the 2014 OIG Workplan?
As part of the Health Care Fraud Prevention and Enforcement Action Team’s success, the Medicare Fraud Strike Force teams will continue to report potential fraud to the OIG. Payment suspensions…
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