Revocation of Your Medicare Billing Privileges.
The Centers for Medicare and Medicaid Services (CMS) has engaged various types of outside contracting entities to perform program integrity functions on behalf of the Medicare program.
Indiana Opioid Prescribing Guidelines–Eff. July 1, 2017.
The CDC has noted that overdoses from prescription opioids have been a “driving problem” contributing to this problem.[2] In an effort to further address the opioid overdose crisis, in March 2016, the CDC published “CDC Guideline for Prescribing Opioids for Chronic Pain – United States, 2016.”
Chiropractic Audits by Medicare are Increasing!
Despite the fact that only three treatment services are covered by Medicare, the number of claims audits and administration sanctions imposed on chiropractic practices around the country has remained high over the last decade and is anticipated to grow throughout 2017 and 2018.
Payors are Aggressively Auditing Acupuncture Claims.
Over the past decade, the number of patients utilizing one or more complimentary or alternative care modalities has steadily increased. As patient demand for such services has grown, the percentage of payors including acupuncture in their plans as a covered service has also increased.
Health Law Articles
Expect an Increase in Audits of Chiropractic Services!(April 16, 2018): Chiropractors around the country are again finding their...
CBRs for Spinal Orthoses (CBR201803): What Do You Need to Know?(April 12, 2018): The Centers for Medicare & Medicaid Services (CMS) utilizes...
ZPIC Audits / UPIC Audits: Transmittal 768(April 12, 2018): A big concern with the Medicare appeals process is the ghastly...
Medicare Advantage Plans May Soon Offer Personal Care Services(April 10, 2018): On April 2, the Centers for Medicare and Medicaid Services (CMS)...
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 Posts From This CategoryDental Law Articles
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 Intravenous (IV) Sedation Services.(June 16, 2017): Under the Social Security Act, states are required to operate...
Delta Dental is Conducting Dental Claims Audits Around the Country.(May 15, 2017): Over the last decade, both state and federal law enforcement...
Medicaid Dental Audits are Examining Dentist Eligibility to Provide Treatment(January 9, 2017): A recent report of the New York State agency that administers...
Read More Posts From This CategoryFalse Claims Act Articles
False Claims Act Penalties Have Almost Doubled(June 21, 2017): Over the last year, the False Claims Act penalties have almost... [Read more of this review]
False Claims Act: Whistleblower Cases Have Continued to Rise Since the Passage of the Affordable Care ActNumber of whistleblowers on the rise (March 3, 2015): The federal False Claims... [Read more of this review]
Dental Fraud Settlement — $5.05 Million to be Paid by Oklahoma Dental Practice in Medicaid Case.(November 10, 2014): Dental fraud investigations and audits are becoming... [Read more of this review]
Read More Posts From This CategoryRegulatory Issues | Privacy
Sexual Harassment / #MeToo: Physician Disciplinary Cases in Texas in 2017(January 26, 2018): From Churches to Congress, sexual assault and harassment... [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]
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]
Read More Posts From This Category