Simi Botic

Simi Botic

Dinsmore & Shohl LLP

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OIG: Medicare Inappropriately Paid for 2010 E/M Services Claims - Physicians should expect higher scrutiny on Medicare claims...

Inspector General Daniel R. Levinson with the Office of the Inspector General (“OIG”) recently issued a startling report explaining that Medicare inappropriately paid $6.7 billion for claims for E/M Services in 2010. These...more

6/20/2014 - Evaluation and Management Services Healthcare Medicare OIG Overpayment Physician Medicare Reimbursements Physicians

Update: Federal Government Aggressively Pursuing Health Care Fraud

The July 2013 alert, Federal Government Aggressively Pursuing Health Care Fraud, stressed the importance of self-audits for health care providers. With the Obama administration taking a hard-line approach to repeat offenders...more

2/28/2014 - Enforcement Enforcement Actions Healthcare Healthcare Fraud

OIG Exclusion List: What it Means, What You Should Do

On January 8, 2014, the Office of Inspector General (“OIG”) updated the List of Excluded Individuals and Entities (“LEIE”). According to the LEIE, over 66,000 health care providers are currently excluded from all Federal...more

1/15/2014 - Exclusions Healthcare Healthcare Fraud Healthcare Reform LEIE Medicaid Medicare OIG

Tips to Prepare for a CMS Electronic Health Record Meaningful Use Audit

In an effort to improve patient care, the Centers for Medicare and Medicaid Services (“CMS”) established electronic health record (“EHR”) Incentive Programs, which provide financial incentives for the “meaningful use” of...more

6/3/2013 - Audits CMS Compliance Electronic Medical Records Healthcare HIPAA Incentives

CMS Clarifies Physician Delegation of Tasks in SNFs and NFs

The Centers for Medicare and Medicaid Services (“CMS”) released an important instruction for physicians, non-physician practitioners (“NPPs”) and providers who bill for services provided in skilled nursing facilities (SNFs)...more

4/26/2013 - Billing CMS Healthcare Healthcare Professionals NFs Physicians SNF

Telemedicine: Physicians Need to Know State Requirements

As telemedicine grows in popularity, it is important for physicians to be aware of the state-by-state requirements when practicing in this revolutionary area of healthcare....more

12/13/2012 - Healthcare Licenses Physicians Telemedicine

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