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Author "Sonal Patel"

By Sonal Patel
In Audit
Feb 1st, 2020
Comments Off on Improve Provider Documentation Through TPE Audits
Improve provider documentation and prevent denials through TPE audits...
By Sonal Patel
Aug 12th, 2019
Comments Off on Inspect Coverage for HBO Therapy for Radiation Proctitis
Look at diagnosis history changes and Medicare’s national and local coverage determinations for greater insight into denied claims. Coverage determinations for hyperbaric oxygen therapy (HBOT) for radiation proctitis make getting paid for physician s...
By Sonal Patel
Apr 1st, 2019
Comments Off on New Anti-kickback Provisions Affect Labs and Physicians
Although the scope of its enforcement is not yet determined, ensure your business relationships with laboratories do not violate EKRA. New Anti-kickback provisions in the Eliminating Kickbacks in Recovery Act of 2018 (EKRA) targets recovery homes, c...
By Sonal Patel
Nov 2nd, 2018
Comments Off on Don’t Confuse Toxicology Screenings with Confirmations
Here is what you need to know about recent changes that will help you differentiate the two. The past few years have brought changes in CPT® and HCPCS Level II coding for presumptive toxicology screenings (screens) and definitive confirmations (confir...
By Sonal Patel
In Audit
Sep 14th, 2018
Comments Off on August 2018 Need-To-Know OIG Work Plan Updates
The U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) has provided its latest, monthly Work Plan update. The Work Plan “sets forth various projects including OIG audits and evaluations that are underway or planned to...