Regulatory Compliance - DoctorsManagement Regulatory Compliance - DoctorsManagement

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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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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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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2021 EM Changes Training Options

By 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...
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