Sean M. Weiss - DoctorsManagement

Jan 07 2021

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Seema Verma Answers Critical Questions on 2021 Policies

By SEAN 2020, 2021, Coding and Auditing, Regulatory Compliance, Sean Weiss

Seema Verma Answers Critical Questions on Healthcare Policies for 2021 January 7, 2021 by Sean Weiss, Partner & VP of Compliance Welcome to 2021 and the start of what I can only hope and pray will be a better year for all. I am humbled and privileged to again be asked by BC Advantage to...

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Nov 18 2020

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Late Entries, Addendums and Corrections

By SEAN 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 SEAN 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 SEAN 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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Oct 22 2020

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Auditors Are Ramping Up Operations

By SEAN 2020, Regulatory Compliance, Sean Weiss

Auditors Are Ramping Up Operations October 22, 2020 by Sean Weiss, Partner & VP of Compliance A culture of compliance is the key to success. There are no indications that audits of healthcare entities by government payers are slowing down – if anything, the ramping up of audit operations that was hinted at a short...

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Sep 01 2020

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OIG State Enforcement Actions for August

By Karen 2020, Regulatory Compliance, Sean Weiss

OIG State Enforcement Actions for August 2020 September 1, 2020 by Sean Weiss, Partner & VP of Compliance The OIG posted State Enforcement Actions for August. As always, I'm baffled by the indecency and willingness to harm others! State Enforcement Actions The Department of Justice has also issued 2 new enforcement actions. The first is...

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Aug 27 2020

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2021 EM Changes Training Options

By Karen 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 Karen 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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Aug 06 2020

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Update on OIG Corporate Integrity Agreements

By Karen 2020, Regulatory Compliance, Sean Weiss

Update on OIG Corporate Integrity Agreements August 6, 2020 by Sean Weiss, Partner & VP of Compliance Today, OIG posted the newly entered into Corporate Integrity Agreements (CIAs) with four entities during the month of July. OIG also provided the new Self Disclosure Protocols (SDPs) entered into with Healthcare Providers. I've provided both links below...

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Aug 03 2020

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COVID19 Emergency Response Toolkits

By Karen 2020, Regulatory Compliance, Sean Weiss

OIG Releases 2 Emergency Response Toolkits August 3, 2020 by Sean Weiss, Partner & VP of Compliance "Today the Office of Inspector General released two emergency response toolkits designed to help health care providers and community responders effectively respond to the COVID-19 pandemic and other emergencies as they arise." The first Toolkit: Insights for Communities...

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