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Ensuring Provider Directory Compliance With H.R. 133

Verisys

Should a group health plan, insurer, or state agency find that time is running out on achieving regulatory compliance with H.R. Donald Potts has helped healthcare customers define business problems and design innovative solutions since he started at Optum in 2008.

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OIG Removes Barrier to Requests for and Issuances of Advisory Opinions When the Same Conduct is Under Investigation

Health Care Law Brief

It is unclear, however, whether this new regulatory framework will ultimately benefit requestors. See e.g. , Advisory Opinion 21-10 as an example of the former, available at Advisory Opinion 21-10 | Office of Inspector General | Government Oversight | U.S. Department of Health and Human Services (hhs.gov).

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What Are The Current Regulatory Changes And Compliance Requirements That ASCs Need To Be Aware Of In Their Billing Practices?

Healthcare IT Today

However, ASC billing practices must be followed to ensure proper reimbursement and regulatory compliance. Medicare Payment Resources CMS implemented an Ambulatory Payment Classification-based payment methodology in 2008. Audits, fines, repayment demands, and government program suspensions are enforcement actions.

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OIG Approves Cash Equivalents Paid to Patients Participating in Contingency Management Program Offered Through Digital Health Technology

Health Care Law Brief

For example, in October, 2008 , the OIG allowed a non-profit organization that provides outpatient treatment services for patients with psychoactive substance abuse dependence to offer incentives in the form of $5–$10 gift cards to motivate those patients to adhere to their treatment plans, which include urine drug screening and counseling sessions.

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