PPT-1 UNANNOUNCED MEDICARE AUDITS – WHAT TO DO IF INVESTIGATO

Friday February 25 2011 2 Alan S Gassman Esq and Lester Perling Esq Copyright 2011 Gassman Bates amp Associates PA Dont panic or feel rushed 3 Copyright 2011 . Is this the Golden Age of audits. ?. Joe W . DeLoach. , OD, FAAO. CEO, Optometric Business Solutions. DISCLAIMER. I am CEO of Optometric Business Solutions. I have no financial interest in the company but this lecture does reference training products available from OBS.. Presented by:. PHYSICIANS ADVOCACY INSTITUTE . AMERICAN COLLEGE OF EMERGENCY PHYSICIANS. 1. WHY PREPARING FOR AUDITS SHOULD BE AN INTEGRAL PART OF ANY PHYSICIAN’S PRACTICE. Audits are an Integral Part of Payers’ Operations. Presented by:. PHYSICIANS ADVOCACY INSTITUTE . AMERICAN COLLEGE OF EMERGENCY PHYSICIANS. 1. PAI. Founded in 2006 as Result of MDL Managed Care Litigation. Board Comprised of CEOs from 9 State Medical Associations: CA, CO, GA, NE, NY, NC, SC, TN and TX and a Physician. Testing, Shortfall Analysis & . Recommendation on Reserve Discount Factor (RDF). ERCOT Staff. ROS. September 8. th. , 2016. Summer Unannounced . Unit Testing Summary. 2. 194.77 MW . NET. excess of capacity.. Medicare Rights Center. The Medicare Rights Center is a national, . nonprofit . consumer service organization that works to ensure access to affordable health care for older adults and people with disabilities through:. California State Lottery Commission. April 26, . 2012. Director’s . Report . 6e. Overview. Mission and Purpose. Role and Objectivity. Organization and Independence. Sample . Audits/Reviews. Audit Committee. Guest Speaker:. Jeremy Howe. Little River Band Of Ottawa Indians. The Measuring Sticks of Air Monitoring. April 7: QA Systems, EPA definitions, PQAOs and common sense – . Mike Papp. April 14: Routine Quality Control and Data Management (1-pt QC, flow rate, and instrument stability checks) – . Gail Sexton; Ray Swisher; and Deme Umo, CMS. New Changes to Enrollment Rules. Enrollment for Medicare Parts C & D. Center for Medicare/Medicare Enrollment & Appeals Group, and. Medicare Medicaid Coordination Office. Rene van de Zande. EMERGO | . President & CEO. 1 512 327 9997. rvz@emergogroup.com. March 31, 2016. New European Medical Device Legislation. . – Two Drafts: MDR (12040/15) and IVDR (12042/15). Projected enrollment rates are calculated from CBO projections of Medicare Advantage enrollment and Part A eligibility (July 2021). 2021 Edition of Centers for Medicare and Medicaid Services . Statistical Supplement for 1990–2009 data. Figure . 7.1 . Sources of prescription drug coverage in Medicare enrollees, by population, 2014. 2016 Annual Data Report, Vol 1, CKD, Ch . 7. 2. a The . catastrophic coverage amount is the greater of 5% of medication cost or the values shown in the chart above. In 2014, beneficiaries were charged $2.55 for those generic or preferred multisource drugs with a retail price less than $51 and 5% for those with a retail price over $51. For brand name drugs, beneficiaries paid $6.35 for those drugs with a retail price less than $127 and 5% for those with a retail price over $127. Table adapted from http://www.q1medicare.com/PartD-The-2014-Medicare-Part-D-Outlook.php. . Learning objectives. Explain the relevance of audit in IP&C practice. Identify audit tools and methods. Describe the main principles of audits. December 1, 2013. 2. Time involved. 40 minutes. December 1, 2013. . CODING & BILLING AUDITS:. . Why They Happen. How to Prevent Them. How to Survive Them. Healthcare Audits & Investigations. DME. MEDIC. SMRC. UPIC. DME. MEDIC. SMRC. UPIC. Healthcare Audits & Investigations. Centers for Medicare & Medicaid Services/HHS. Completed Summer 2021. FY21 Capacity Assessment Reflection Summary. 2. What we’re proud of this year:. Continued to launch major improvements to Medicare.gov as part of the eMedicare initiative,...