Regulatory Compliance Archives

Sep 01 2020

OIG State Enforcement Actions for August

By Karen 2020, Regulatory Compliance, Sean Weiss

OIG State Enforcement Actions for August 2020 September 1, 2020 by Sean Weiss, Partner & VP of Compliance The OIG posted State Enforcement Actions for August. As always, I'm baffled by the indecency and willingness to harm others! State Enforcement Actions The Department of Justice has also issued 2 new enforcement actions. The first is...

Aug 27 2020

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2021 EM Changes Training Options

By Karen 2020, Regulatory Compliance, Sean Weiss

2021 E/M Changes Training Options August 27, 2020 by Sean Weiss, Partner & VP of Compliance 2021 will be here before you know it and so will the changes impacting Office and Other Outpatient Services (99202-99215). NAMAS National Alliance of Medical Auditing Specialist has created 3 learning tracks for providers and staff to fit your learning...

Aug 24 2020

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Compliance Gap Analysis

By Karen 2020, Regulatory Compliance, Sean Weiss

Compliance Gap Analysis Services August 24, 2020 by Sean Weiss, Partner & VP of Compliance Looking for a Compliance Gap Analysis, rewrite of your compliance program, policies and/or standard operating procedures (SOPs)? DoctorsManagement, LLC provides comprehensive reviews, analysis, structural feedback and implementation strategies. Since 1956 more than 10,000 clients have relied on our services to support them...

Aug 06 2020

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Update on OIG Corporate Integrity Agreements

By Karen 2020, Regulatory Compliance, Sean Weiss

Update on OIG Corporate Integrity Agreements August 6, 2020 by Sean Weiss, Partner & VP of Compliance Today, OIG posted the newly entered into Corporate Integrity Agreements (CIAs) with four entities during the month of July. OIG also provided the new Self Disclosure Protocols (SDPs) entered into with Healthcare Providers. I've provided both links below...

Aug 03 2020

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COVID19 Emergency Response Toolkits

By Karen 2020, Regulatory Compliance, Sean Weiss

OIG Releases 2 Emergency Response Toolkits August 3, 2020 by Sean Weiss, Partner & VP of Compliance "Today the Office of Inspector General released two emergency response toolkits designed to help health care providers and community responders effectively respond to the COVID-19 pandemic and other emergencies as they arise." The first Toolkit: Insights for Communities...

Jul 30 2020

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An Update to CMS Medicare Fee-For-Service Billing

By Karen 2020, Regulatory Compliance, Sean Weiss

An Update on CMS Medicare Fee-For-Service Billing July 30, 2020 by Sean Weiss, Partner & VP of Compliance Once again CMS muddies the water during the PHE and I guarantee their auditors won't know this! Thanks to Stephanie Allard, CPC, CEMA, RHIT, of DoctorsManagement for raising this point with me today! Updated (7/28/20) COVID-19 Frequently...

Jul 24 2020

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It’s Official: COVID-19 Public Health Emergency Extended

By GRANT 2020, Regulatory Compliance, Sean Weiss

It's Official: COVID-19 Public Health Emergency Extended July 24, 2020 by Sean Weiss, Partner & VP of Compliance HHS has made it official: The COVID-19 Public Health Emergency (PHE) declaration is now extended by another 90 days, as stipulated under the Public Health Service Act (PSA). It's no surprise, as the COVID-19 case count in...

Jul 23 2020

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CMS to Extend COVID’s Public Health Emergency Status

By GRANT 2020, Regulatory Compliance, Sean Weiss

CMS to Extend COVID's Public Health Emergency Status July 23, 2020 by Sean Weiss, Partner & VP of Compliance The official declaration of the COVID-19 pandemic as a Public Health Emergency (PHE) is due to expire this Saturday, July 25, which means that all of the associated regulatory waivers and flexibilities will expire unless the...

Jul 20 2020

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Got Compliance? CMS to Resume Audit Programs on Aug. 3

By GRANT 2020, Regulatory Compliance, Sean Weiss

Got Compliance? CMS to Resume Audit Programs on Aug. 3 July 20, 2020 by Sean Weiss, Partner & VP of Compliance I have not posted for some time, largely because the flow of information from the federal government and commercial payers has slowed to a drip. But now things are heating up: CMS is poised...

Jul 08 2020

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Charges in Health Insurance Fraud Scheme

By Karen 2020, Regulatory Compliance, Sean Weiss

Charges in Health Insurance Fraud Scheme July 8, 2020 by Sean Weiss, Partner & VP of Compliance Once again, a physician and his associate(s) believed they were smarter than the governmental investigators only to be shown they were not. In this case, a Beverly Hills Surgeon and his Girlfriend have been charged with stealing nearly...

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OIG State Enforcement Actions for August

2021 EM Changes Training Options

Compliance Gap Analysis

Update on OIG Corporate Integrity Agreements

COVID19 Emergency Response Toolkits

An Update to CMS Medicare Fee-For-Service Billing

It’s Official: COVID-19 Public Health Emergency Extended

CMS to Extend COVID’s Public Health Emergency Status

Got Compliance? CMS to Resume Audit Programs on Aug. 3

Charges in Health Insurance Fraud Scheme

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