"Nationwide Healthcare Lawyers"
(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 […]
AdQIC: A Brief Refresher on the Role This Contractor Plays Read More »
(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
The Latest OIG Report on E/M Coding Finds that Coding Practices are Trending Higher Read More »
(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
Jurisdiction H: Novitas Posts New FAQs and EFT Alerts Read More »
(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
Non-Disclosure Agreement – Checklist for the Recipient of Confidential Info Read More »
(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.
Liquidated Damages – Don’t Take a Bath When You Cancel a Contract Read More »
(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
Data Mining Tools Can Help Identify Possible Problems Read More »
(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
Beware of Small Print – It Can be Bad for Your Wallet Read More »
(February 3, 2012): Many folks or businesses agree to manage another person’s interests, money or business. When this happens there is a fiduciary duty that attaches to the person or entity managing the other person’s interests, money or business matters. The acceptance of a fiduciary duty can occur, for example, by being a General Partner
“There is a Fiduciary Duty Here. It’s Really Inconceivable to Us.” Read More »
(November 21, 2011): After twenty years of practicing law, I still receive many calls from folks who have had a deal gone bad, money taken, partnerships that defrauded them, et cetera; of course, the first thing I ask is what did the contract say? The response I most often hear is, “there is no written
“A Verbal Contract Isn’t Worth the Paper on Which it is Written.” Read More »
(September 6, 2011): When is the last time you examined the contractual provisions set out in contracts entered into by your city or municipality? Arbitration provisions can be very problematic and a city or municipality should think twice before voluntarily agreeing to arbitration or including such provisions in a contract with an outside party. Why
Arbitration Provisions in City Contracts Read More »