All - DoctorsManagement

Jul 10 2020

Whither History and Examination? Building the Future of EHR Documentation

By RHONDA CASTEEL 2020, Coding and Auditing

Whither History and Examination? Building the Future of EHR Documentation Paul Spencer, CPC, COC This auditing and compliance "Tip of the Week" was originally published by the National Alliance for Medical Auditing Specialists (NAMAS), a division of DoctorsManagement. Regular readers of this unique space in the auditing universe have more than likely begun to...

Jul 08 2020

Love21

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...

Jul 07 2020

Love21

Anthem Owes $7 Million for Anti-Wrapping Rules

By Karen 2020, Regulatory Compliance, Sean Weiss

Anthem Owes $7 Million For Anti-Wrapping Rules July 7, 2020 by Sean Weiss, Partner & VP of Compliance Bloomberg Law reports that a California state appeals court ruled that Anthem Blue Cross Life and Health Insurance Co. owes $7 million for “bullying insurance brokers into a boycott of Ben-E-Lect, a ‘wrapping’ company that makes high-deductible...

Jul 06 2020

Love21

Government Reaches Settlement in Healthcare Fraud Matter

By Karen 2020, Regulatory Compliance, Sean Weiss

Government Reaches $1 Million Settlement in Healthcare Fraud Matter July 6, 2020 by Sean Weiss, Partner & VP of Compliance HHS/OIG released another settlement related to healthcare Fraud! This is a $1 Million settlement for a solo provider in San Juan, Puerto Rico. The Consent Judgment alleges the defendants submitted false claims to Medicare when...

Jun 29 2020

Love5

How Small and Independent Practices Can Prevail During COVID-19

By RHONDA CASTEEL 2020, DM in the News

How Small and Independent Practices Can Prevail During COVID-19 By Stephanie Stephens | Jun 3, 2020 If you've had issues with your small practice since the COVID-19 pandemic, you're not alone. American Medical Association (AMA) data from 2018 found 47.4 percent of physicians were employed by hospitals or hospital-owned practices, and 45.9 percent were owners,...

Jun 26 2020

Love10

The Telehealth Conundrum – MAC vs National CMS Guidance

By RHONDA CASTEEL 2020, Coding and Auditing

The Telehealth Conundrum - MAC vs National CMS Guidance Holly Cassano, CPC, CRCC This auditing and compliance "Tip of the Week" was originally published by the National Alliance for Medical Auditing Specialists (NAMAS), a division of DoctorsManagement. As we move through the COVID-19 pandemic, many of us in health care are finding that many...

Jun 19 2020

Love10

2021 E&M Changes: Defining the Differences

By RHONDA CASTEEL 2020, Coding and Auditing

2021 E&M Changes: Defining the Differences Grant Huang, CPC, CPMA Director of Content , DoctorsManagement This auditing and compliance "Tip of the Week" was originally published by the National Alliance for Medical Auditing Specialists (NAMAS), a division of DoctorsManagement. The hype surrounding next year's implementation of new guidelines for documenting and coding Evaluation & Management...

Jun 17 2020

Love21

Medicaid Fraud Scheme Sentencing

By Karen 2020, Regulatory Compliance, Sean Weiss

Sentencing in Medicaid Fraud Scheme June 17, 2020 by Sean Weiss, Partner & VP of Compliance Tuesday, June 16, 2020, the last of six defendants was sentenced in a scheme to defraud Medicaid out of millions of dollars! The defendants were sentenced for crimes related to a health care fraud conspiracy in which Medicaid was...

Jun 16 2020

Love10

HIPAA and COVID-19: Patchwork Protocols and Protecting Privacy

By RHONDA CASTEEL 2020, Coding and Auditing

HIPAA and COVID-19: Patchwork Protocols and Protecting Privacy Bryan Meek, Esq & Monica Andress Brennan, Manna, & Diamond, LLC This auditing and compliance "Tip of the Week" was originally published by the National Alliance for Medical Auditing Specialists (NAMAS), a division of DoctorsManagement. As the COVID-19 pandemic continues to wreak havoc globally, many industries have been...

Jun 12 2020

Love21

Telehealth Services Update

By Karen 2020, Regulatory Compliance, Sean Weiss

Telehealth Services - Audits and a new Enforcement Action June 12, 2020 by Sean Weiss, Partner & VP of Compliance The Office of the Inspector General (OIG) posted a new Enforcement Action on June 11, 2020 regarding a Florida man charged in a telemedicine scheme - Defendant is 26th charged in telemedicine conspiracy in Southern...

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DoctorsManagement Blog

Whither History and Examination? Building the Future of EHR Documentation

Charges in Health Insurance Fraud Scheme

Anthem Owes $7 Million for Anti-Wrapping Rules

Government Reaches Settlement in Healthcare Fraud Matter

How Small and Independent Practices Can Prevail During COVID-19

The Telehealth Conundrum – MAC vs National CMS Guidance

2021 E&M Changes: Defining the Differences

Medicaid Fraud Scheme Sentencing

HIPAA and COVID-19: Patchwork Protocols and Protecting Privacy

Telehealth Services Update

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