Because law is black and white, your organization is at risk in the gray zone. By Jacqueline Nash-Bloink, MBA, CHC, CPC, CPC-I, CMRS Healthcare compliance may not be as steamy as the novel Fifty Shades of Grey, by E.L. James, but the U.S. Department of Health & Human Services (HHS) and the U.S. Department of ...
Jun 1st, 2012
It’s a worthwhile venture, but document and code claims carefully to get paid. By Marty Kotlar, DC, CHCC, CBCS Adding therapeutic procedures and modalities can be a great adjunct to a chiropractic practice. Many doctors of chiropractic medicine incorporate therapeutic procedures and modalities, and most insurance carriers (except Medicare) will reimburse chiropractors for them. Supervised ...
In CMS
Apr 12th, 2012
At a Chicago health care fraud prevention summit hosted by the Department of Justice (DOJ) and the U.S. Department of Health & Human Services (HHS) in early April, HHS Secretary Kathleen Sebelius and Attorney General Eric Holder discussed how the Affordable Care Act and the Obama administration’s Health Care Fraud Prevention and Enforcement Action Team ...
Dec 15th, 2011
If you are interested in learning about the fundamentals of health care compliance, the Office of Inspector General (OIG) has just what you need. The OIG has released Health Care Fraud Prevention and Enforcement Action Team (HEAT) provider compliance training videos and podcasts. The training features 11 free videos and audio podcasts that, according to the OIG website, “cover ...
In Audit
Dec 2nd, 2011
In its Semiannual Report to Congress, the Office of Inspector General (OIG) announced 2011 exclusions of 2,662 individuals and entities from participation in federal health care programs, and expected recoveries of approximately $5.2 billion in audit and investigative receivables. The OIG also reported 723 criminal actions against individuals or entities that engaged in crimes against ...