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Compliance Monitor

This HTML e-mail newsletter delivers news on Medicare and Medicaid fraud and abuse, as well as recent documents and targets of the Office of Inspector General, CMS, and the Department of Justice each week. A second e-mail newsletter, Compliance Monitor Q&A, answers compliance questions from your peers.

2012 | 2011 | 2010 | 2009 | 2008 | 2007 | 2006 | 2005 | 2004 | 2003 | 2002 | 2001

Issue 97, December 8, 2004

Issue 99, December 16, 2004

Issue 97, December 8, 2004

Issue 95, December 1, 2004

Issue 93, November 24, 2004

Issue 92, November 19, 2004 - VIEW THE FULL ISSUE

Issue 91, November 19, 2004 - VIEW THE FULL ISSUE

Issue 90, November 12, 2004

  • Triage nurse billing

    According to EMTALA, every person who comes to the ED must receive a medical screening exam to...
  • Waiving co-pays

    A: Many medical practices offer discounts to employees. Offering a discount to employees is not...

Issue 87, November 10, 2004

Issue 86, October 29, 2004

Issue 85, November 3, 2004

Issue 84, October 22, 2004

Issue 83, October 27, 2004

Issue 81, October 20, 2004

Issue 80, October 13, 2004 - VIEW THE FULL ISSUE

Issue 78, October 1, 2004

Issue 76, September 24, 2004

Issue 75, September 22, 2004

Issue 74, September 17, 2004 - VIEW THE FULL ISSUE

Issue 73, September 15, 2004

Issue 72, September 10, 2004

Issue 71, September 8, 2004

Issue 69, September 1, 2004

Issue 67, August 25, 2004

Issue 66, August 20, 2004

  • SNF compliance plan

    The Office of Inspector General (OIG) has developed compliance program guidance for the healthcare...

Issue 65, August 18, 2004

Issue 64, August 13, 2004 - VIEW THE FULL ISSUE

Issue 63, August 11, 2004

Issue 62, August 6, 2004

  • MRI services

    Medicare reimburses Independent Diagnostic Testing Facilities (IDTFs), a.k.a. "freestanding...

Issue 61, August 4, 2004

Issue 60, July 30, 2004

Issue 59, July 28, 2004

Issue 58, July 23, 2004

Issue 57, July 21, 2004

Issue 56, July 16, 2004

Issue 55, July 14, 2004

Issue 54, July 9, 2004

  • Privacy and DSS

    There are two important provisions of the privacy rule that can help resolve the situation.

Issue 53, July 7, 2004

Issue 52, July 2, 2004

Issue 51, June 30, 2004

Issue 49, June 23, 2004

Issue 48, June 18, 2004

Issue 47, June 16, 2004

Issue 45, June 9, 2004

Issue 44, June 4, 2004

  • Observation codes

    A: Use code G0264. When patients are directly admitted to the facility from a physician’s...

Issue 43, June 2, 2004

Issue 42, May 28, 2004 - VIEW THE FULL ISSUE

Issue 41, May 26, 2004

Issue 40, May 21, 2004

  • Post-op pain management

    A: There are CPT Assistants (10/01 and 7/98) that indicate that if the block were intended...

Issue 39, May 19, 2004

Issue 38, May 14, 2004

Issue 37, May 12, 2004

Issue 35, May 5, 2004

Issue 34, April 30, 2004

  • E/M coding

    A: Simple suture removal only in a minor procedure with a global of 10 days is bundled into the...

Issue 33, April 28, 2004 - VIEW THE FULL ISSUE

Issue 32, April 23, 2004

Issue 31, April 21, 2004

Issue 29, April 14, 2004

Issue 27, April 7, 2004

Issue 25, March 31, 2004

Issue 24, March 25, 2004

Issue 23, March 24, 2004

Issue 22, March 19, 2004

Issue 21, March 17, 2004

Issue 20, March 12, 2004

  • Signing lab results

    You won't find documentation of regulations specifically mandating the ordering physician's...

Issue 19, March 10, 2004

Issue 18, March 5, 2004

Issue 17, March 3, 2004

Issue 16, February 27, 2004

Issue 15, February 25, 2004

Issue 14, February 20, 2004

Issue 13, February 18, 2004

Issue 12, February 13, 2004

Issue 11, February 11, 2004

Issue 10, December 22, 2004 - VIEW THE FULL ISSUE

Issue 9, February 4, 2004

Issue 7, January 28, 2004

Issue 6, January 23, 2004

Issue 5, January 22, 2004

Issue 4, January 16, 2004

Issue 3, January 14, 2004

Issue 2, January 9, 2004

  • Q&A: HIPAA and peer reviews

    These are normally legitimate uses of PHI. But as the question acknowledges, they could lead to a...
  • Q&A: UTI codes

    Guidelines for coding diagnostic tests differ depending on whether you are coding in an ambulatory...

Issue 1, January 7, 2004

Issue 53, January 5, 2004