Medicare Overpayments
Seven Elements of a Payable Claim are an Essential Tool When Preparing for a ZPIC Audit(September 21, 2012): Each year, our attorneys and paralegals review and...
AdQIC: A Brief Refresher on the Role This Contractor Plays.(June 15, 2012): If you have ever been involved in a Medicare postpayment audit,...
100 Involved in Health Care Fraud ArrestsUpdate (May 3): In total, 107 individuals were charged yesterday in connection...
Read More Posts From This CategoryDental Audits & Complaince
Dental Claims Audits are on the RiseBoth Medicaid and private payor dental claims audits are increasing around...
Dental Fraud: Dentist Faces 3,974 Years in Prison if Convicted!(November 30, 2017): Earlier this year, Attorney General Jeff Sessions announced...
Medicaid Dental Audits of IV Sedation Services(June 16, 2017): Under the Social Security Act, states are required to operate...
Read More Posts From This CategoryHealth Law Provider Audits update
An Overview of Administrative Rheumatology Audits / Adverse Actions AND Civil / Criminal Enforcement Actions(May 20, 2018): It’s been a rough week for at least one Texas rheumatologist. ... [Read more of this review]
Expect an Increase in Audits of Chiropractic Services!(April 16, 2018): Chiropractors around the country are again finding their... [Read more of this review]
CBRs for Spinal Orthoses (CBR201803): What Do You Need to Know?(April 12, 2018): The Centers for Medicare & Medicaid Services (CMS) utilizes... [Read more of this review]
ZPIC Audits / UPIC Audits: The Impact of Transmittal 768 on the Medicare Appeals Process Timeline.(April 12, 2018): A big concern with the Medicare appeals process is the ghastly... [Read more of this review]
Medicare Advantage Plans May Soon Offer Personal Care Services(April 10, 2018): On April 2, the Centers for Medicare and Medicaid Services (CMS)... [Read more of this review]
The PSAVE Pilot Program: Should You Self-Audit Your Medicare Claims?(April 2, 2018): Our nation’s demographics are changing. In less than... [Read more of this review]
Veterans Administration and CMS Announce Partnership to Address Fraud Prevention(January 25, 2018): On January 23rd, the Veteran Administration (VA) and the Centers... [Read more of this review]
Personal Care Services Are Under the Government’s Microscope(January 22, 2018): The Department of Health and Human Services, Office of... [Read more of this review]
Revocation of Your Medicare Billing Privileges.The revocation of your Medicare billing privileges can subject your practice... [Read more of this review]
UPIC / ZPIC Referrals to State Boards, Societies, Surveyors and QIOs(November 29, 2017): The Medicare and Medicaid programs are managed by the... [Read more of this review]
Pain Management Prescribing Practices and Audits.(August 16, 2017): Earlier this summer, the U.S. Department of Justice (DOJ) executed... [Read more of this review]
Indiana Opioid Prescribing Guidelines–Eff. July 1, 2017.(June 29, 2017): Deaths resulting from a drug overdose have grown considerably... [Read more of this review]
Opioid Prescribing Practices & NBI MEDIC / UPIC / ZPIC and Board Actions(June 29, 2017): It has been estimated that from 1999 to 2014, more than 165,000... [Read more of this review]
NBI MEDIC Referrals to Boards, OIG and DOJ are Here!(June 28, 2017): The Medicare program is enormous. As of 2016, more than 56 million... [Read more of this review]
UPIC / ZPIC / Health Integrity Opioid Audits and Audits of Other High Risk Drugs.(June 23, 2017): Opioid audits of the prescribing practices of pain management... [Read more of this review]
Medicare Home Services (CPT® codes 99341-99350) are Being Audited(June 20, 2017): As the Department of Health and Human Services (HHS), Office of... [Read more of this review]
UPIC Claims Audits of Medicare Services are Underway! Are You Ready?(June 12, 2017): Historically, the Centers for Medicare and Medicaid Services... [Read more of this review]
Medicare Chiropractic Audits are Increasing!(June 5, 2017): Despite the fact that only three treatment services are... [Read more of this review]
Private Insurance Payors are Aggressively Conducting Acupuncture Audits(May 26, 2017): Over the past decade, the number of patients utilizing one... [Read more of this review]
Exclusion Screening-OIG Screening: The New “Seventh Element” of Compliance.(May 17, 2017): Exclusion screening-OIG screening duties are now more important... [Read more of this review]
Read More Posts From This CategoryRegulatory Issues | Privacy
Sexual Harassment: Cases Against Texas Physicians in 2017(January 26, 2018): From Churches to Congress, sexual harassment and assault... [Read more of this review]
Maryland Limits on Opioid Prescriptions(June 30, 2017): In March 2016, the Centers for Disease Control and Prevention... [Read more of this review]
Cell Tower Ground Lease Renewals and Purchases(September 15, 2015): A landowner/ground lessor considering a renewal or easement... [Read more of this review]
OIG Proposes New Anti-Kickback Law Safe Harbors(November 10, 2014): The U.S. Department of Health and Human Services Office... [Read more of this review]
Peddling and Soliciting, Municipal Regulations These Issues Can be Complex. Is Your City Clear on These Points?(January 8, 2013): As a general rule cities can regulate hawking, canvassing,... [Read more of this review]
What is Civil Fraud?(November 29, 2012): Civil fraud cases are complex and can have substantial effects... [Read more of this review]
Guide to Efficient Business Transactions: Part III(July 6, 2012): This article is a continuation of our discussion on how a... [Read more of this review]
Guide to Efficient Business Transactions: Part II(June 24, 2012): How a business person can manage attorneys and other professionals... [Read more of this review]
Guide to Efficient Business Transactions: Part I(June 18, 2012): How a business person can manage attorneys and other professionals... [Read more of this review]
NFLPA Collusion Suit Against NFL Alleges Conspiracy(May 24, 2012): Are the Washington Redskins and Dallas Cowboys, the greatest... [Read more of this review]
Contract Basics – What is a Contract? Is Your Agreement Legally Binding?(May 21, 2012): People unknowingly enter into contracts all the time – many... [Read more of this review]
Non-Disclosure Agreement – Checklist for the Recipient of Confidential Info.(April 12, 2012): You are considering a business transaction. The other party... [Read more of this review]
Liquidated Damages – Don’t Take a Bath When You Cancel a Contract(April 5, 2012): Your business may often enter into contracts for services,... [Read more of this review]
“What Do You Really Owe When a Debt Collector Calls?”(March 6, 2012): You receive a phone call in which a rude person on the other... [Read more of this review]
Beware of Small Print – It Can be Bad for Your Wallet.(February 6, 2012): You consult with an attorney, do all the necessary due... [Read more of this review]
“There is a Fiduciary Duty Here. It’s Really Inconceivable to Us.”(February 3, 2012): Many folks or businesses agree to manage another person’s interests,... [Read more of this review]
“A Verbal Contract Isn’t Worth the Paper on Which it is Written.”(November 21, 2011): After twenty years of practicing law, I still receive many... [Read more of this review]
Arbitration Provisions in City Contracts(September 6, 2011): When is the last time you examined the contractual... [Read more of this review]
Hotel Occupancy Tax Funds – Management and Duty – Part III of III(March 30, 2011): In Part I, the Hotel Occupancy Tax (“HOT”) was defined... [Read more of this review]
Hotel Occupancy Tax Funds and Proper Use – Part II of III(March 22, 2011): In Part I the term Hotel Occupancy Tax was defined, and... [Read more of this review]
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