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A federal jury convicted a licensed Illinois psychologist of defrauding Medicare over the course of several years by causing the submission of fraudulent claims for psychotherapy services he never provided. Ensure that your policies are reviewed at least annually and updated when new information becomes available.
Organizations that manage healthcare facilities or supplier networks also need to obtain an NPI to ensure compliance with HIPAA regulations. By 2007, all providers were required to file claims using their NPI, replacing the previous Unique Physician Identification Number (UPIN). What Are the Two Types of NPI Providers?
Launched in 2007, star ratings enable the CMS as well as consumers to compare health plans on metrics other than cost. Mismanagement of appeals and grievances can lead to severe penalties, such as lower Medicare star ratings, on the moderate side, while contracts and licenses can be cancelled, at the extreme end of the spectrum.
2007 WL 2460776, at *6 (D. 2007 WL 218242, at *4 (N.D. 26, 2007) (bespoke software not a UCC good). 2007), held that “defective computer software may give rise to strict products liability in tort.” Buhimschi , 2007 WL 2902896, at *16 (E.D. 28, 2007), aff’d , 396 F. Henry , 2007 WL 2743097, at *2 (W.D.
For qualified IMGs, it issues a certification, which IMGs can then use to apply to residency and other graduate medical education programs and to apply for state medical licenses. So if compliance with an industry standard is a defense, this plaintiff went a step further and sued the organizations that created the standards.
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