Simi Botic

Simi Botic

Dinsmore & Shohl LLP

Contact  |  View Bio  |  RSS

Latest Publications

Share:

Overpayments to Skilled Nursing Facilities on the Rise

Nearly $2.5 billion dollars in overpayments were made to Skilled Nursing Facilities (“SNFs”) as a result of billing errors last year. The billing error rate for SNFs jumped to 7.7 percent, virtually doubling in 2013....more

9/25/2014 - Billing CMS Healthcare Overpayment Skilled Nursing Facility

Health Care Providers: Five Actions to Help You Avoid Qui Tam Lawsuits

2013 proved to be another record-setting year for False Claims Act lawsuits, the largest of these recoveries related to health care fraud. The Department of Justice (“DOJ”) secured $3.8 billion from False Claims Act...more

9/2/2014 - Best Management Practices DOJ False Claims Act Health Care Providers Healthcare

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

Third-Party Technology Must Comply With HIPAA

Now more than ever, healthcare providers are looking to outsource their standard healthcare functions, such as medical record storage, to third party technology companies. Be mindful that any technology that stores or...more

12/17/2013 - Data Protection HIPAA Outsourcing

Is Your Photocopier HIPAA Compliant?

Health care providers are well aware of the Health Insurance Portability and Accountability Act of 1996 (HIPAA), taking precautions to ensure that protected health information (“PHI”) is protected on computers, phones, and in...more

10/10/2013 - Data Protection HIPAA PHI Photocopiers

Federal Government Aggressively Pursuing Health Care Fraud

Proactive self-audits help providers identify potential problems - The Federal Government is using every tool available to fight health care fraud and recover overpayments from health care providers. According to the...more

7/5/2013 - Audits DOJ Enforcement Enforcement Actions Fraud Fraud and Abuse Health Insurance Healthcare Fraud Healthcare Professionals HHS 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

HIPAA: Does Your Lease Comply?

The Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) protects all "individually identifiable health information," commonly referred to as protected health information (“PHI”), held or transmitted by a...more

5/21/2013 - Business Associates Covered Entities HIPAA PHI

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

CR7631: Changes to Place of Service Coding Effective April 1, 2013

After the OIG identified a high error rate for Place of Service (“POS”) modifiers over several years, the Centers for Medicare and Medicaid (“CMS”) issued a billing and coding revision (CR 7631) to instruct any physician,...more

2/7/2013 - CMS Medicaid Medicare OIG Physician Fee Schedule Place of Service Coding

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

13 Results
|
View per page
Page: of 1