2019 Archives - DoctorsManagement

It's My Organization; I Can Do What I Want! "Not if The Government Has Anything to Say About It" by Sean Weiss, Partner & VP of Compliance As first published on RACMonitor January 30, 2020 The age-old question of “Can we offer cash-pay discounts, professional courtesy and/or the waiver of co-payments or deductibles” continues to...

Jan 29 2020

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To Sign or Not to Sign

To Sign or Not to Sign "A Provider's Responsibility" by Sean Weiss, Partner & VP of Compliance and David Glaser, ESQ As first published on RACMonitor January 23, 2020 As a regulatory and compliance officer, I often have the privilege of working with some of the best and most respected attorneys in the industry and...

Jan 15 2020

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Avoiding a Compliance Nightmare in 2020

Avoiding a Compliance Nightmare in 2020 "This is Serious" by Sean Weiss, Partner & VP of Compliance I’ve never been a huge fan of horror films and not because of the blood and guts but simply because of the bad choices the victims always seem to make; “Let’s hide behind the wall of chain saws,...

Dec 27 2019

Food For Thought As We Ring in a New Year

Food For Thought As We Ring in a New Year Pam Vanderbilt, CPC, CPMA, CPPM, CPC-I, CEMC, CEMA This auditing and compliance "Tip of the Week" was originally published by the National Alliance for Medical Auditing Specialists (NAMAS), a division of DoctorsManagement. If you haven't been living under an exam table for the last few...

Dec 20 2019

What to look for when auditing moderate sedation codes 99151-99153

What to look for when auditing moderate sedation codes 99151-99153 Scott Kraft, CPC, CPMA This auditing and compliance "Tip of the Week" was originally published by the National Alliance for Medical Auditing Specialists (NAMAS), a division of DoctorsManagement. Physicians performing diagnostic and therapeutic procedures can now separately bill for the provision of moderate sedation services,...

Dec 18 2019

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Bah Humbug – The Impact of Medical Necessity in 2020

Bah Humbug "The Impact of Medical Necessity in 2020" by Sean Weiss, Partner & VP of Compliance Ahh! “The Most Wonderful Time of The Year” or so they say. The question is, for whom is it really the most wonderful time of the year? If you are an insurance company depending on the recoupments and/or...

Dec 16 2019

What did I do today?

What did I do today? Heather Bollman, CPC, CPB, CPMA, CPC-I This auditing and compliance "Tip of the Week" was originally published by the National Alliance for Medical Auditing Specialists (NAMAS), a division of DoctorsManagement. Whether you are auditing inpatient or outpatient documentation, chances are you have come across a situation where the encounters repeat the...

Dec 12 2019

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Top OIG Risks for 2020

Top OIG Risks for 2020 by Sean Weiss, Partner & VP of Compliance (Adapted From Monitor Monday Podcast Segment from December 9, 2019 and article posted on RACMonitor https://www.racmonitor.com/early-warning-top-audit-risks-for-2020) As we get ready to say good-bye to another year of audits and investigations, compliance officers around the country have or are working to determine...

Dec 06 2019

Beware of Collateral Consequences When Settling with the Feds

Beware of Collateral Consequences When Settling with the Feds Michael Cook, Partner, LilesPaker Co-Leader, Health Law Practice Group This auditing and compliance "Tip of the Week" was originally published by the National Alliance for Medical Auditing Specialists (NAMAS), a division of DoctorsManagement. Over the past several years, several clients have come to our Firm who...

Dec 03 2019

E/M Changes for 2021: Help is Out There