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,
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audit
OCR Alert – HIPAA Audit Email Phishing Scam
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…
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Enforcement Update – Bad Actors Continue to Pay
Recent press releases provide notice of activities that draw the government’s ire — and result in serious criminal consequences. Focusing on these issues is a helpful exercise for any physician trying to stay within the law.
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Physicians Begin Seeing Recovery Audit Contractor (RAC) Letters
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.
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Stuff You Didn’t Know About Medicare: Physician Signature Requirements
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…
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Altering Medical Records: What Not To Do When Being Audited By Medicare
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. …
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