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Guide to Efficient Business Transactions: Part III

(July 6, 2012):  This article is a continuation of our discussion on how a business person can manage attorneys and other professionals in the legal process of his business transactions, to minimize the costs and risks.  A link to Part II is provided:  Click here for Part II.     I.  Efficient Business Transactions, Continued: (k)  …

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Guide to Efficient Business Transactions: Part II

(June 24, 2012): How a business person can manage attorneys and other professionals in the legal process of his business transactions, to minimize cost and risk and maximize efficiency – Part II of III.  Click here for Part I. Check back soon for the third installments. I. Precepts and Procedures. (a) Choose an Attorney With Whom …

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Guide to Efficient Business Transactions: Part I

(June 18, 2012):  How a business person can manage attorneys and other professionals in the legal process of his business transactions, to minimize cost and risk and maximize efficiency? Let’s look at a few these issues below. I. Goal of this Guide; Goals of Your Business Transactions. This Guide is written for those handling important …

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AdQIC: A Brief Refresher on the Role This Contractor Plays

(June 15, 2012): If you have ever been involved in a Medicare postpayment audit, or even a prepayment audit, you may have heard of the “QIC” – the Qualified Independent Contractor. This contractor for the Centers for Medicare & Medicaid Services (CMS) is responsible for adjudicating reconsideration appeal requests from appellants still unhappy with a …

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The Latest OIG Report on E/M Coding Finds that Coding Practices are Trending Higher

(June 15, 2012): Evaluation and Management (E/M) coding has been the subject of substantial scrutiny in Medicare post-payment audits and appeals for many years. When a reviewer for the Center for Medicare & Medicaid Services (CMS) audits an E/M claim, the reviewer often appears to utilize the AMA CPT Code Book to assess the proper level the …

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Jurisdiction H: Novitas Posts New FAQs and EFT Alerts

(May 15, 2012):  Liles Parker continues to monitor the consolidation of current MAC Jurisdictions 4 & 7 into Jurisdiction H, which will include Texas, Colorado, New Mexico, Oklahoma,  Louisiana, Arkansas and Mississippi and will be serviced by Novitas Solutions (formerly Highmark Medicare Services).  Novitas has posted a number of important alerts and informative FAQs on the …

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Non-Disclosure Agreement – Checklist for the Recipient of Confidential Info

(April 12, 2012): You are considering a business transaction. The other party will be disclosing confidential information to you and asks that you sign its “standard form” Non-Disclosure Agreement.   Before signing a Non-Disclosure Agreement, you need to carefully review whether it is in your best interests to enter into such a document.  Here is a …

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Liquidated Damages – Don’t Take a Bath When You Cancel a Contract

(April 5, 2012): Your business may often enter into contracts for services, or a lease contract for machinery or for space. These contracts are usually for a certain term or length of time.  Halfway through the term, you decide that you are not receiving what you were promised when you initially entered into the contract.  …

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Data Mining Tools Can Help Identify Possible Problems

(February 8, 2012):  While we all know that many Medicare post-payment audits are often generated as a result of sophisticated data mining analyses, the particular elements of concern which may give rise to a specific provider audit are not always so clear.  Health care providers interested in compliance can use data mining assessment tools to …

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Beware of Small Print – It Can be Bad for Your Wallet

(February 6, 2012): You consult with an attorney, do all the necessary due diligence, start a company or corporation, and finally begin doing business.  You execute many contracts for services or supplies, signing as the “president” or “manager’ of your corporation.  You assume that each contract is between the corporation and the service provider. Later …

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