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 Keep three on-call billing questions in mindDon’t fall into the trap of letting the other physician bill for the services if your physician is on call and handling patient services for another physician. When your physician renders a service, even while on call for another doctor, it’s you who should bill the services. Reverse False Claims: FERA broadens overpayment liabilityWith the Fraud Enforcement and Recovery Act (FERA) becoming law in May this year, Congress amended the False Claims Act (FCA) to cover situations when providers knowingly retain Medicare or Medicaid overpayments. New Interim Rule on HIPAA penalties gets goingIf the old HIPAA penalty rules confused you, don’t expect too much from the new one; it’s just a little better than the old one. Slippery Stark rules? Learn from the mistakes of othersThere’s a lot that your hospital can learn from the mistakes of others, especially those relating to slippery Stark rules. Stark’s take on gifts to referring physiciansGifts to physicians who can potentially refer Medicare or Medicaid patients to your practice or health care body can run afoul of Stark and anti-kickback laws. Oncology coding: Know the right CPT codes for simulation claimsTo get more insight on CPT codes for oncology, you can register yourself for one-stop medical coding websites, where you’ll get the entire CPT code list FERA widens FCA’s reach in subcontractingAs part of the follow-on to the 2009 stimulus package, Congress passed the Fraud Enforcement and Recovery Act (FERA), which widens the FCA’s reach in three critical aspects - subcontracting, Medicaid, and over payments - that providers need to train eyes on. Medicare Administrative ContractorsMACs may repeal your billing rights if it catches you with the wrong address. Home health compliance: Insulin Injection Rules you should knowCMS covers assisted insulin injections when a patient can’t self-inject insulin and there’s no family member or caregiver to lend a helping hand, by the top priority payments for OIG as per the 2010 Work Plan. Physicians to be affected by OIG’s IDTFs and EMTALAPhysicians take notice. The OIG’s 2010 Work Plan is full of clear enforcement and compliance goals that will certainly affect you.
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