CJ Wolf
According to a recent post on Justice.gov, “A Detroit, Michigan-area doctor was sentenced to 72 months in prison today for his role in a $10.4 million conspiracy to defraud the Medicare program.”
Lori A. Cox
Auditing for critical care is confusing and takes some serious detective skills. Sherlock anyone?
CJ Wolf
It’s been almost two years since CMS’ final rule on Reporting and Returning of Overpayments went into effect.
Stephani Scott
A patient’s history is a critical component to a physician for determining the etiology of a patient's problem. That’s why a history of present illness (HPI) is required in some form for every Evaluation and Management service.
CJ Wolf
The new year is a time to improve, adjust, and tackle compliance with new eyes and a reignited passion. It’s also a time for making a list of compliance resolutions, of things I need to tackle head on this year.
CJ Wolf
It’s that time of year again! Compliance programs are performing annual risk assessments and creating annual audit work plans in preparation for 2018.
Stephani Scott
The appropriate use of Modifier 25 can be a little tricky because the requirements are ultra-specific. On the one hand, Modifier 25 is really handy.
CJ Wolf
The number of settlements with the government for issues of non-compliance are on the rise. And experts estimate that most physician practices are making mistakes.
