Sean M. Weiss - DoctorsManagement Sean M. Weiss - DoctorsManagement

THE COMPLIANCE GUY BLOG

Apr 06 2021
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Compliance Guy Live Announcement

By 2021, Regulatory Compliance, Sean Weiss
The Compliance Guy Live Announcement April 7, 2021 by Sean Weiss, Partner & VP of Compliance "The Compliance Guy" is streaming LIVE April 16, 2021 at 1:30 pm EDT Register Now It’s a fact, given the fast-paced and digitally connected workforce of today, getting authoritative and timely information is a must! We hear you loud...
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Apr 05 2021
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PSA on Telehealth Visits

By 2021, Regulatory Compliance, Sean Weiss
PSA on Telehealth Visits April 5, 2021 by Sean Weiss, Partner & VP of Compliance The following image is a recent telehealth visit from a client. The interesting thing is the icon they use to indicate what this encounter was. Notice it is a video camera icon and the word "sick" next to it. Deploying...
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Mar 16 2021
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ALJ Hearings

By 2021, Regulatory Compliance, Sean Weiss
Administrative Law Judge (ALJ) Hearings March 16, 2021 by Sean Weiss, Partner & VP of Compliance Over the past 3-weeks I have engaged in 4 ALJ hearings for different clients. Each judge has been outstanding and very receptive to our arguments. One hearing (after 6-years of waiting for it to be assigned by OMHA) was...
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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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