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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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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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Updates to OIG Work Plan

By 2020, Regulatory Compliance, Sean Weiss
Updates to OIG Work Plan October 27, 2020 by Sean Weiss, Partner & VP of Compliance OIG has posted an update to their Work Plan. There were several additions for October but one that really stands out is the Medicare Telehealth Services During the COVID-19 Pandemic: Program Integrity Risks, especially considering all of the changes...
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The Peril of Policies

By 2020, Coding and Auditing
The Perils of Policies August 28, 2020 | By David Glaser, JD  This auditing and compliance "Tip of the Week" was originally published by the National Alliance for Medical Auditing Specialists (NAMAS), a division of DoctorsManagement.   For the compliance-oriented, there is something rewarding about developing policies. It feels like an accomplishment, demonstrable proof of...
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