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Top OIG Risks for 2020

By 2019, Regulatory Compliance, Sean Weiss
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...
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Beware of Collateral Consequences When Settling with the Feds

By 2019, Coding and Auditing
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...
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Self Audit: The New Quarterly Exam

By 2019, Coding and Auditing
Self Audit: The New Quarterly Exam Karen House, CPC, 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. Are you an office manager who doesn't check the provider's notes or coding on a regular basis? If your answer is yes,...
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Proposed Reforms to 42 CFR Part 2 to Improve Care Coordination and Treatment

By 2019, Coding and Auditing
Proposed Reforms to 42 CFR Part 2 to Improve Care Coordination and Treatment Rachel V. Rose, JD, MBA 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 Substance Abuse and Mental Health Services Administration (SAMHSA) has been busy over the...
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Stay In Your Lane

By 2019, Coding and Auditing
Stay In Your Lane 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. One of the elements of auditing that I find most satisfying is the provider education once the audit is complete, especially...
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Key Performance Indicators (KPIs) – Measurement to Management

By 2019, Coding and Auditing
Key Performance Indicators (KPIs) - Measurement to Management Edward Townley, Founder, Cogent9 Consulting This auditing and compliance "Tip of the Week" was originally published by the National Alliance for Medical Auditing Specialists (NAMAS), a division of DoctorsManagement. There is an adage attributed at different times to many people: "You can't manage what you can't measure." We...
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Medically Unlikely Edits (MUEs): Unlikely, But Not Always Impossible

By 2019, Coding and Auditing
Medically Unlikely Edits (MUEs):  Unlikely, But Not Always Impossible Kelley Chappell Larkins, CPMA, CPC This auditing and compliance "Tip of the Week" was originally published by the National Alliance for Medical Auditing Specialists (NAMAS), a division of DoctorsManagement. Medically Unlikely Edits (MUEs) were created by the Centers for Medicare & Medicaid Services (CMS) to help...
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