The Latest News
Medical Coding Billing & Compliance News
compiled by Team eduTrax
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Written by Team eduTrax
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Wednesday, 19 May 2010 00:00 |
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During the May 5, 2010 RAC 101 Conference Call, Scott Wakefield, a CMS RAC Project Manager stated that providers may begin to receive RAC medical necessity reviews “within the next month or so.” According to one observer we spoke to, he seemed somewhat surprised that no such reviews have been posted by the RACs, as yet, and intimated that such issues had already been approved.
Meanwhile, more issues have been posted by all four RACs in the past two weeks. A list of those new issues appears below. All issues for Complex Review still include a statement that medical necessity is excluded from review, at this time.
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Last Updated on Saturday, 22 May 2010 21:15 |
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Written by Team eduTrax
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Friday, 14 May 2010 00:00 |
Summary Judgement Bars Prosecution of Former Compliance Officer
A hospital system’s corporate integrity agreement (CIA) officer and in-house counsel successfully argued that the statute of limitations barred a False Claims Act (FCA) complaint against her, according a ruling filed by U.S. District Court for the Southern District of Florida (Court), dated April 16, 2010.
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Last Updated on Friday, 14 May 2010 21:45 |
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Written by Team eduTrax
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Friday, 14 May 2010 00:00 |
The Affordable Care Act Helps Fight Fraud
HHS Secretary Sebelius, Inspector General Daniel Levinson & Attorney General Eric Holder released a new report on Medicare fraud prevention and discussed the Obama Administrations new efforts to fight fraud using new tools provided by the Affordable Care Act. The HHS video recording of the event is available at eduTrax.
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Last Updated on Tuesday, 18 May 2010 13:39 |
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Written by Team eduTrax
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Tuesday, 11 May 2010 00:00 |
Compliance Officers Should Have Direct Access to Board of Directors
The Federal Sentencing Commission defined an “effective compliance and ethics program,” in changes to their Federal Sentencing Guidelines (Section 8B2.1), as published in the Federal Register on April 29. The proposed changes take effect Nov. 1, unless Congress moves to block them...
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Last Updated on Saturday, 22 May 2010 21:46 |
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