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Compliance officers don’t necessarily need to know everything about medical coding and modifiers, but at a minimum, compliance officers should know that modifiers matter.
About five years ago I had an experience that changed my perspective and really opened my eyes to a better way to effectively share post-audit results.
Dr. Smith and I had met a number of times because we were in the same organization.
1. Miami-Area Man Charged For Role in $63 Million Health Care Fraud Scheme - A Miami-area man was charged in an indictment unsealed today for his alleged participation in a $63 million health care fraud scheme involving a now-defunct community mental health center located in Miami. Read the full story here.
In 2009, the HITECH Act was passed as a part of the American Recovery and Reinvestment Act. It provided the authority for the government to establish the Medicare and Medicaid Electronic Health Record (HER) incentive programs to promote the adoption of EHRs.
Compliance and coding are complicated.
1. Electronic Health Records Vendor To Pay The Largest Settlement In The District Of Vermont: eClinicalWorks LLC to Pay $155 Million to Resolve Civil False Claims Act Allegations –
You've heard the buzz. "Auditing is complex and daunting," they say. "Auditing has too many gray areas."
We all “report up” to somebody at some point and that goes for the OIG, too, in their regular reports to Congress. Recently, the OIG submitted its Semiannual Report to Congress for the period of Oct. 1, 2016 to March 31, 2017.