Regulatory Issues | Privacy | Other

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, peddling and soliciting within city limits. International Society for Krishna Consciousness, Inc. v. Lee, 505 U.S. 672, 112 S. Ct. 2711, 120 L. Ed. 2d 541 (1992). The public policy that allows cities to regulate peddlers or the solicitation of contributions is to […]

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Healthcare Cloud Computing – Compliance Risks

(August 14, 2012): Cloud computing is in the process of revolutionizing the way that individuals and businesses store, receive, and use their data. You may have heard about it through companies such as Google, Apple, and Microsoft, all advertising sophisticated cloud computing services. But what are the risks your organization faces with respect to healthcare

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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) Conform

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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

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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

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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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