Home health, opioid fraud are top DOJ targets. Federal enforcement agencies got right down to business once the government shutdown ended. Moreover, the first week of enforcement shows that the feds intend to hold physicians accountable for fraud schemes in [...]
New grant could ease your burden from patients with multiple medications. Think you have to deal with poor medication management solutions? Think again. The Visiting Nurse Service of New York (VNSNY) has received a Center for Technology and Aging grant [...]
Plus: Senate lacks votes to change Medicare payment structure, but members vow to keep trying. CMS instructs MACs to suss out sham health care operations. A favorite tactic of some Medicare fraudsters is to set up 'dummy' storefront operations that [...]
• CMS is lining up its interest rate with what private consumers pay. Effective Oct. 22, CMS wants Medicare contractors to apply a 10.875 percent interest rate to all overpayments and underpayments to match the Treasury's fixed rate, according to [...]
CMS instructs MACs to suss out sham health care operations. Afavorite tactic of some Medicare fraudsters is to set up 'dummy' storefront operations that have billing addresses but no real health care going on. The feds are on to this [...]
ENT's portion requires specification, individual documentation When your otolaryngologist works as a co-surgeon on a complex procedure, you had better nail down the documentation perfectly -- and the other physician's practice had better follow the same rules. Otherwise, your 62.5 [...]
Pin down which physician performed each portion of co-surgery When two physicians work as co-surgeons on a complex procedure, your practice had better nail down the documentation perfectly -- and the other physician's practice had better follow the same rules. Otherwise, [...]
Straying from the right PATH could cost millions If your doctors claim they're treating patients personally in the hospital, you'd better have the documentation ready to prove it, or you could be millions of dollars poorer. Temple University Physicians, the [...]
