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1. The government generally permits the services of one provider to be billed under the name and NPI of another provider in two circumstances. First, where the services of auxiliary personnel are billed “incident to” the professional services of a physician. Second, “locum tenens” or “reciprocal billing” arrangements, where the ...
Mar 1, 2018 · Patient complaints and claims denials stemmed from discrepancies between their preferred and legal names at Ochsner Health System. To address this, a separate field was created for the patient’s preferred name, staff and clinicians know how patients want to be addressed, and the correct name goes on the claim without disturbing the integrity of the medical record.
The Code of Federal Regulations (CFR) carries the force and effect of federal law, mandating that, in circumstances in which clinicians assign billing responsibility to an employer or external vendor for reimbursable services rendered to patients insured by Medicare, they have unrestricted access to claims data submitted in their names. 7 Yet health care organizations operating in competitive ...
Approximately 7% of women had a surname different from their husbands’ in 2004 (Fam Issues. 2010;31:681-701). That’s up from 2% in 1984, according to Dr. Scheuble’s research (J Marriage Fam. 1995;57:724-732). Another 1% hyphenate their maiden name with their husband’s last name, she said. “When I started to do this research, I was ...
Oct 6, 2018 · The issues physicians face when changing their name. It’s my first day at a new facility — and I’m prepped with food, snacks and a closed-lid container for my morning coffee and to refill it in the afternoon with water. You never really know how stringent the policies will be for water containers at your new workstation or whether food or ...
The medical record contains valuable information about a patient's medical history and individual clinical interactions. It is also a legal document that can serve as evidence of the care provided and discussions with the patient. A record created at the time of the encounter and properly maintained contributes greatly to the successful defence ...
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When it comes to Medicare, billing under the wrong physician's ID can cost doctors and hospitals - literally. Consider these three recent incidents that, taken together, resulted in more than $7 million in penalty payments to the government: In 2018, CityMD, the largest urgent care company in the New York area, paid more than $6.6 million to resolve allegations under the False Claims Act that ...
