Medical record requests by payors are commonplace for health care providers. Typically, these requests are received by a front desk employee who responds to the inquiry in short order.  Yet, not all requests should be treated the same.  When a request for documentation is propounded by the “Special Investigation Unit” (S.I.U.)  of an insurance company,

The U.S. Department of Health and Human Services (“HHS”) Office for Civil Rights (“OCR”) issued an alert on November 28, 2016, regarding an email purporting to be from OCR.  This phishing email can look like an official government email which may use fake HHS letterhead and may even appear to be signed by OCR’s Director,

Medical practices and physicians are beginning to receive both audit and repayment letters from RACs. So ,if you’re still not familiar with this aggressive audit and recovery program, your are well-advised to begin preparing for the possibility that some of your claims may be reviewed by a RAC.
Continue Reading Physicians Begin Seeing Recovery Audit Contractor (RAC) Letters

With the rollout of the Recovery Audit Contractor (RAC) audit program in full swing, physicians should be paying close attention to their medical record documentation efforts.  One of the Medicare documentation requirement that many physicians don’t fully appreciate is the requirement that all medical records be signed by the performing physician.  Specifically, Medicare requires that

Document, document, document! is the cry of health care attorneys and consultants across the Country when asked what physicians can do to protect their practices from fraud and abuse liability.  But what happens if you receive a Medicare audit request and you find out that your documentation isn’t so good or even non-existent?  Many physicians when faced