What Providers Can Do Now A missing HIPAA Security Risk Assessment (SRA) is the top reason medical offices get tripped up in HIPAA and MIPS audits. A yearly SRA documented and training for all staff is required for all medical related entities. We recommend MyMeducator.com for the easiest way to complete your SRA checklist, meducate…
Did you know billions of taxpayer dollars are spent funding false Medicare claims each year? Audit vendors and the DOJ use data analysis from claims submission to target medical practices and providers involved in the submission of upcoded medicare claims. Are you and your staff aware of how to identify and correct billing errors before…
Unnecessary procedures cost Kentucky cardiologist $1M, 5 years in prison. Medical procedures and orders must be backed by supporting chart documentation and appropriate ICD-10 coding. All government and commercial payors use claims data to build and compare provider profiles. A Compliance program which includes services such as MyMeducator.com staff e-learning programs, external chart audits, and…
A Florida orthopedic office has agreed to pay $4.4 million in medicare fraud claims. This recoupment is for all the things we frequently uncover as outside auditors: “incident to” billing errors, modifier misuse, bundled services billed in global periods, and lack of medical necessity documented. Compliance services such as MyMeducator.com staff e-learning programs, external chart…
2018 HEALTHCARE TAKE DOWN 601 Defendants charged, including: 165 Medical Professionals $2.5 billion in Losses 587 Exclusions Issued 58 Federal Districts 30 Fraud Control Units 350 OID Agents 2018 healthcare fraud settlements exceed $2 billion dollars for the 9th consecutive year. Compliance services such as MyMeducator.com staff e-learning programs, external chart audits, and outside compliance…