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Medicare Audits

Should your clinic or practice be subjected to a government contractor review or audit by either a Recovery Audit Contractor (e.g. Connolly Healthcare) or a Program Safeguard Contractor (e.g. AdvanceMed), it is imperative that you fully exercise your appeal rights. To properly do so, you should seriously consider engaging a qualified law firm to protect your interest. While all providers know that they have the right to contest claims denials based on medical necessity and other claims-specific defenses, th

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Should your clinic or practice be subjected to a government contractor review or audit by either a Recovery Audit Contractor (e.g. Connolly Healthcare) or a Program Safeguard Contractor (e.g. AdvanceMed), it is imperative that you fully exercise your appeal rights. To properly do so, you should seriously consider engaging a qualified law firm to protect your interest. While all providers know that they have the right to contest claims denials based on medical necessity and other claims-specific defenses, th
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Medicare Audits | medicareaudits.typepad.com Reviews

https://medicareaudits.typepad.com

Should your clinic or practice be subjected to a government contractor review or audit by either a Recovery Audit Contractor (e.g. Connolly Healthcare) or a Program Safeguard Contractor (e.g. AdvanceMed), it is imperative that you fully exercise your appeal rights. To properly do so, you should seriously consider engaging a qualified law firm to protect your interest. While all providers know that they have the right to contest claims denials based on medical necessity and other claims-specific defenses, th

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1

Robert Liles

http://medicareaudits.typepad.com/about.html

I'm a healthcare attorney representing providers in Medicare audits and extrapolations Call (202) 298-8750. Website: http:/ www.lilesparker.com. I'm a healthcare attorney representing providers in Medicare audits and extrapolations Call (202) 298-8750. Mr Liles was subsequently appointed as Chief of the Financial Litigation Unit for the Southern District of Texas. Working in this capacity, he was responsible for managing a substantial accounts receivable portfolio, representing hundreds of millions o...

2

Medicare Audits : October 2009

http://medicareaudits.typepad.com/fighting_medicare_audits_/2009/10/index.html

Fighting Medicare Audits and Extrapolations Call (202) 298-8750. Laquo; September 2009. October 11, 2009. Red Flag Rules Lead to New Requirements for Healthcare Providers - Effective November 1, 2009. Health Care providers Should Act Now to Ensure Compliance! Act (FACT), which authorized the FTC to enact policies to deter and mitigate identity theft. The FTC refers to these policies as the Red Flag Rules. The FTC completed their review and submitted guidelines in late 2007 and set as an implementation da...

3

Medicare Audits : September 2009

http://medicareaudits.typepad.com/fighting_medicare_audits_/2009/09/index.html

Fighting Medicare Audits and Extrapolations Call (202) 298-8750. Laquo; July 2009. October 2009 ». September 23, 2009. Recent Changes in Recoupment Limitations in Medicare Overpayment Cases. Several years ago, the Centers for Medicare and Medicaid Services (CMS) published a Proposed Rule in order to implement Section 935 of the Medicare Prescription Drug, Improvement and Modernization Act of 2003 (MMA).   In response, a number of h. 42 CFR Part 405. 0160;on the federal registers website. Importantly, Sec...

4

Medicare Audits

http://medicareaudits.typepad.com/fighting_medicare_audits_

Fighting Medicare Audits and Extrapolations Call (202) 298-8750. New HIPAA Regulations Place Providers and their Business Associates at Significant Risk. II New Breach Notification Provisions:. A brief description of what happened, when the breach occurred and when it was discovered. A description of what was disclosed in the breach. The steps individuals should take to protect themselves from potential harm resulting from the breach. III Heightened Penalties Under HIPAA:. 50,000 for each violation due t...

5

Medicare Audits : Changes to the False Claims Act and their Impact on Health Care Providers

http://medicareaudits.typepad.com/fighting_medicare_audits_/2009/09/changes-to-the-false-claims-act-and-their-impact-on-health-care-providers.html

Fighting Medicare Audits and Extrapolations Call (202) 298-8750. Laquo; Heplful Medicare Overpayment Links. Recent Changes in Recoupment Limitations in Medicare Overpayment Cases ». September 13, 2009. Changes to the False Claims Act and their Impact on Health Care Providers. Removed the mandatory requirements  t. Hat a false claim must actually be presented to the government. Revised the definition of obligation. To expressly now include the knowing retention of mere overpayments despite the...Expanded ...

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Medicare Audits

Fighting Medicare Audits and Extrapolations Call (202) 298-8750. New HIPAA Regulations Place Providers and their Business Associates at Significant Risk. II New Breach Notification Provisions:. A brief description of what happened, when the breach occurred and when it was discovered. A description of what was disclosed in the breach. The steps individuals should take to protect themselves from potential harm resulting from the breach. III Heightened Penalties Under HIPAA:. 50,000 for each violation due t...

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