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DoctorsManagement Blog

Apr 06 2021
Love24

Compliance Guy Live Announcement

By 2021, Regulatory Compliance, Sean Weiss
The Compliance Guy Live Announcement April 7, 2021 by Sean Weiss, Partner & VP of Compliance "The Compliance Guy" is streaming LIVE April 16, 2021 at 1:30 pm EDT Register Now It’s a fact, given the fast-paced and digitally connected workforce of today, getting authoritative and timely information is a must! We hear you loud...
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Apr 05 2021
Love24

PSA on Telehealth Visits

By 2021, Regulatory Compliance, Sean Weiss
PSA on Telehealth Visits April 5, 2021 by Sean Weiss, Partner & VP of Compliance The following image is a recent telehealth visit from a client. The interesting thing is the icon they use to indicate what this encounter was. Notice it is a video camera icon and the word "sick" next to it. Deploying...
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Mar 16 2021
Love24

ALJ Hearings

By 2021, Regulatory Compliance, Sean Weiss
Administrative Law Judge (ALJ) Hearings March 16, 2021 by Sean Weiss, Partner & VP of Compliance Over the past 3-weeks I have engaged in 4 ALJ hearings for different clients. Each judge has been outstanding and very receptive to our arguments. One hearing (after 6-years of waiting for it to be assigned by OMHA) was...
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Jan 11 2021
Love23

Regulatory Updates to Physician Self-Referral & Anti-Kickback Statute

By 2021, Regulatory Compliance, Sean Weiss
Regulatory Updates to Physician Self-Referral and Anti-Kickback Statute January 11, 2021 by Sean Weiss, Partner & VP of Compliance On Dec 2, 2020, the regulatory updates to the Physician Self-Referral and Anti-Kickback Statute (AKS) were published in the Federal Register. Health and Human Services (HHS) and sub-agencies are proposing significant updates to the fraud and...
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Dec 28 2020
Love13

Medicare’s 2021 E/M Changes: Highlights & Summary

By 2021, Coding and Auditing, Regulatory Compliance
Highlights of Medicare’s 2021 fee schedule final rule Grant Huang, CPC, CPMA Director of Content at DoctorsManagement December 2020 CMS has finally released its Medicare Physician Fee Schedule (PFS) final rule. The following summary distills the highlights and who will be most impacted. While some of the provisions will be widely felt across many specialties,...
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Nov 18 2020
Love21

Late Entries, Addendums and Corrections

By 2020, Regulatory Compliance, Sean Weiss
Late Entries, Addendums and Corrections November 18, 2020 by Sean Weiss, Partner & VP of Compliance I get lots of questions on how to fix provider documentation that is lacking information. Late entries, addendums, or corrections are all legitimate occurrences. Late Entry: A late entry supplies additional information that was omitted from the original entry....
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Nov 03 2020
Love21

Caution in Billing Incident-To

By 2020, Regulatory Compliance, Sean Weiss
Caution in Billing Incident-To November 3, 2020 by Sean Weiss, Partner & VP of Compliance Medicare will pay the higher physician rate for services rendered by non-physician providers (NPP) if the services are “incident to” the services of a physician. Services must be provided under the direct supervision of a physician. However, for years now,...
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