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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 99, December 16, 2005

Issue 98, December 14, 2005

Issue 97, December 9, 2005

Issue 96, December 2, 2005

Issue 95, November 30, 2005

Issue 94, December 2, 2005

Issue 93, November 23, 2005

Issue 92, November 18, 2005

Issue 91, November 16, 2005 - VIEW THE FULL ISSUE - VIEW THE FULL ISSUE

  • Working with the media

    Facilities should have a plan in place for working with the media before a major event occurs. Have...

Issue 90, November 11, 2005

Issue 89, November 9, 2005

Issue 88, November 4, 2005

Issue 87, November 2, 2005

Issue 86, October 28, 2005

Issue 85, October 26, 2005

Issue 84, October 21, 2005

Issue 83, October 19, 2005

Issue 82, October 14, 2005

Issue 81, October 12, 2005

Issue 80, October 7, 2005

Issue 79, October 5, 2005

Issue 78, September 30, 2005

Issue 77, September 28, 2005 - VIEW THE FULL ISSUE

Issue 76, September 23, 2005

  • Directory "opt-out" rules

    What should we do if we are unable to properly inform the patient of the "opt-out" of the facility...

Issue 75, September 23, 2005

Issue 74, September 16, 2005

Issue 73, September 14, 2005

Issue 72, September 9, 2005

Issue 71, September 7, 2005

Issue 70, September 2, 2005

Issue 69, August 31, 2005

Issue 68, August 26, 2005 - VIEW THE FULL ISSUE

Issue 67, August 24, 2005

Issue 66, August 19, 2005

Issue 64, August 12, 2005

Issue 63, August 10, 2005

Issue 62, August 5, 2005

Issue 61, August 3, 2005

Issue 59, July 27, 2005 - VIEW THE FULL ISSUE

Issue 58, July 22, 2005

Issue 57, July 20, 2005

Issue 56, July 15, 2005

Issue 55, July 13, 2005

Issue 54, July 8, 2005

Issue 53, July 6, 2005

Issue 52, July 1, 2005

Issue 51, June 29, 2005

Issue 50, June 24, 2005

  • Three-day window rule

    Q: We have an outpatient visit that starts at about 8 p.m. on the 7th and the patient does not go...
  • HIPAA and FDA compliance

    Q. What activities are considered to be related to the quality, safety, or effectiveness of an...

Issue 49, June 22, 2005

Issue 48, June 17, 2005

Issue 47, June 15, 2005

Issue 46, June 10, 2005

Issue 45, June 8, 2005

Issue 44, June 3, 2005

Issue 43, June 1, 2005

Issue 42, May 27, 2005

Issue 41, May 25, 2005

Issue 40, May 20, 2005

Issue 39, May 18, 2005

Issue 38, May 13, 2005

Issue 37, May 11, 2005

Issue 36, May 6, 2005

Issue 35, May 4, 2005

Issue 34, April 29, 2005

  • Fall risk assessments

    Q: How can we get our nurses to do a risk assessment, or even to do a medication evaluation as part...

Issue 33, April 27, 2005

Issue 32, April 22, 2005

  • White boards in the ED

    Q: Our ER manager wants to list the name and location of emergency department (ED) patients. Does a...
  • Nebulizer treatment billing

    Q: If our ED nursing staff performs nebulizer treatments, may they be billed separately, or do the...

Issue 31, April 20, 2005

Issue 30, April 15, 2005

  • Dialysis and discharge

    Q: In a recent audit of our hemodialysis procedures, I discovered that almost 14% of our...
  • Casting and strapping

    Q: Coders at our facility continue to struggle with the definitions of strapping and casting. Could...

Issue 29, April 13, 2005

Issue 28, April 8, 2005

Issue 27, April 6, 2005

Issue 26, April 1, 2005

  • Guardianship of minors

    Q: We received a phone call from a five-month-old patient’s aunt. The patient’s mother...
  • ESRD conditions of coverage

    Q: What sanctions might a provider face if it is not in compliance with the new Medicare end stage...

Issue 25, March 30, 2005

Issue 24, March 25, 2005

Issue 23, March 23, 2005

Issue 22, March 18, 2005

  • Document retention

    Can you help me? I’m saving all my old EOB’S, but I’m not sure how long I have to...
  • Clearinghouses

    Q: What is a healthcare clearinghouse?

Issue 21, March 16, 2005

Issue 20, March 11, 2005

  • Modifiers and medical necessity

    Q: My facility has been struggling to confirm whether -GA, -GY, and -GZ modifiers can be used on a...
  • ABNs

    Are facilities required to provide ABN’s? If so, please cite the regulation.

Issue 19, March 9, 2005

Issue 18, March 4, 2005

Issue 17, March 2, 2005

Issue 16, February 25, 2005

Issue 15, February 23, 2005

Issue 14, February 18, 2005

  • HIPAA and minors

    Q: What does HIPAA say about allowing parents the right to see the medical records of their minor...
  • Duplicate gross charges

    Q: I represent a physician pathology group. Sometimes we bill more than one gross charge on a case...

Issue 13, February 9, 2005

Issue 12, February 9, 2005

  • Modifier -52

    Q: Should a -52 modifier ever be appended to G0101? Is there a source that answers this question on...
  • Reporting bundled services under OPPS

    Q: If a drug has a HCPCS code and it's a bundled service, does CMS expect or require us to report...

Issue 11, February 9, 2005

Issue 10, December 21, 2005

Issue 9, February 2, 2005

Issue 8, January 27, 2005

Issue 7, January 26, 2005

Issue 6, January 20, 2005

Issue 5, January 19, 2005

Issue 4, January 13, 2005

Issue 3, January 11, 2005

Issue 1, January 5, 2005

Issue 40, October 4, 2005

Issue 2, January 7, 2005