When claims are audited, following compliance laws matters.
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Financial Audit↗
Biomedical subjects
M D Abruzzo
Publications and source records attributed to M D Abruzzo.
'Final' Stark regulations still a work in progress.
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Centers for Medicare and Medicaid Services, U.S.↗
Another state court expands HMO liability for providers' actions.
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Contract Services↗
Beating obesity begins by expanding tort reform.
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Health Maintenance Organizations↗
Despite what you hear, state privacy statutes no threat to DM.
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Disease Management↗
More lawsuits sure to come over physician compensation.
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Fee Schedules↗
Supreme Court ruling encourages greater awareness among patients.
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Employee Retirement Income Security Act↗
Some states seek to close prompt-payment loopholes.
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California↗
Extricating yourself from the hospital system.
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Capital Financing↗
Antifraud push means plans need to focus on compliance.
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Accounts Payable and Receivable↗
Don't be decredentialed without putting up a fight.
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Credentialing↗
Health plans that decredential docs must do it correctly and expect a fight.
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Credentialing↗
Disputes between physicians and plans can be settled without costly litigation.
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Health Maintenance Organizations↗
Peer review may not be confidential when fairness of process is at issue.
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Confidentiality↗
OIG approves 'safe harbors' for ambulatory surgery centers.
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Centers for Medicare and Medicaid Services, U.S.↗