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THE COMPLIANCE GUY BLOG

Jan 11 2021
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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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Nov 18 2020
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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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Nov 03 2020
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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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Oct 27 2020
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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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Aug 27 2020
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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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Aug 24 2020
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Compliance Gap Analysis

By 2020, Regulatory Compliance, Sean Weiss
Compliance Gap Analysis Services August 24, 2020 by Sean Weiss, Partner & VP of Compliance Looking for a Compliance Gap Analysis, rewrite of your compliance program, policies and/or standard operating procedures (SOPs)? DoctorsManagement, LLC provides comprehensive reviews, analysis, structural feedback and implementation strategies. Since 1956 more than 10,000 clients have relied on our services to support them...
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