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Deeper Than the Headlines: Overpayments Identified by the OIG for Chronic Care Management Services

Posted by CJ Wolf, Nov 18, 2019 11:14:48 AM

On January 1, 2015 CMS established a policy for Medicare for chronic care management (CCM) services to be paid under the Medicare Physician Fee Schedule.

Deeper Than the Headlines: OIG Semiannual Report

Posted by CJ Wolf, Jun 11, 2018 11:40:29 AM

The OIG recently submitted their semiannual report to Congress. The report summarizes the significant work of the OIG for the reporting period covering October 1, 2017, to March 31, 2018.

Post-Submission MIPS Tragedies (and what to do)

Posted by Jay Fisher, May 1, 2018 9:21:31 AM

Wait! Don’t open that bottle of champagne just yet! You submitted your MIPS but it looks like you might not be done with 2017, after all.

9 Powerful Reasons to Utilize Your EMR Audit Trail

Posted by Stephani Scott, Mar 27, 2018 10:06:20 AM

Experts in health information technology suggest that EHR technology can make it easier to commit fraud.

Compliance News Roundup: HIPAA Security Risk Analysis

Posted by Healthicity, Dec 27, 2017 11:24:18 AM

1. Medicare Fails To Recover Hundreds Of Millions Of Dollars In Lab Overcharges - “Five years ago, Companion DX Reference Lab hoped to cash in on cutting-edge genetic tests paid for by Medicare.

Deeper Than the Headlines: 268.1 Million in Restitution: Highlights From the OIG Semiannual Report

Posted by CJ Wolf, Dec 11, 2017 10:14:58 AM

On November 30th, the OIG posted its Semiannual Report to Congress. The report is a summary of the OIG’s activities from April 1, 2017 to September 30, 2017.

The Dangers of Copy And Pasting Documentation

Posted by Charla Prillaman, Sep 21, 2017 12:32:22 PM

There are a lot of Copy and Paste horror stories. Physicians who accidentally copy and pasted information from one patient’s record to a different patient. Or Copy and Pasting that goes rogue and suddenly, a woman with a family history of breast cancer has a history of breast cancer herself.

Compliance News Roundup: EHR Incentive Payments

Posted by Healthicity, Jun 21, 2017 10:28:45 AM

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.