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How to Respond to Document Requests, Audits & Overpayment Demands Webinar Recording

https://youtu.be/QY7nwgQ1IlY Healthcare is one of the most highly regulated industries in the country. When physicians and practices receive document requests, audit notices, and overpayment demands, knowing what to expect and how to react can help save money, protect your professional license and avoid litigation. This webinar will take you through the process of the what to do when you or your practice receives a request or demand from a government...

Frier Levitt Successfully Defends Two Physicians Before the NJ Board of Medical Examiners

Recently, Frier Levitt successfully represented two New Jersey-based physicians facing disciplinary actions before the New Jersey Board of Medical Examiners. In one case, the physician, a pain management specialist, was being investigated by the Board concerning the practices of opioid prescribing. The physician was facing greater scrutiny due to the prescribing of cancer breakthrough pain medication. Frier Levitt reviewed the physician’s standard operating procedures for opioid prescribing and presented evidence...

Why Physicians Need to Challenge Audit Findings and Overpayment Demands: Lessons Learned from 2018

In 2018, many physicians' fears and suspicions were confirmed as discovery from lawsuits against insurers and reports from the Office of Inspection General (OIG) shed light on the glaring flaws, and the sometimes unscrupulous nature of, payor audits. The year began with a bang when in February 2018 it was revealed that Aetna’s former Medical Director, Dr. Jay Ken Iinuma, admitted under oath that he "never looked at patients' records...

Recent Updates to New Jersey Employment and Billing Laws: What Every Practice Needs to Know

https://youtu.be/EZb6cIVW_7Q In July, the state of New Jersey enacted two major laws affecting every healthcare practice in the state. On the employment front, a new mandatory Paid Sick Leave Act that requires employers to provide employees with designated "sick leave." From a financial aspect, a new comprehensive New Jersey Out-of-Network (OON) Consumer Protection, Transparency, Cost Containment and Accountability Act that addresses multiple issues beyond mere balance billing. As no practice...

Frier Levitt Successfully Reduces Recoupment from Physician’s Medicaid Audit

A New Jersey otolaryngologist was facing a large recoupment as the result of an audit by the New Jersey Medicaid Fraud Division (MFD) of the Office of the State Comptroller. In the audit, the MFD claimed that the physician was an outlier for billing too many consultation codes. Frier Levitt successfully showed that the otolaryngologist's documentation supported the use of consultations codes and that there was no basis to initiate...