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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...

Frier Levitt Successfully Defends Physician Before the Board of Medical Examiners Regarding Fraudulent Billing

Recently, Frier Levitt defended a physician before the Board of Medical Examiners facing patient allegations of fraudulent billing. Frier Levitt submitted the formal documents explaining the patient care provided by the physician and the patient's fundamental misunderstanding of the complex nature of medical billing practices. After reviewing Frier Levitt's submission, the Board closed the case without filing a disciplinary action and ensured the matter would remain strictly confidential. If you...

Frier Levitt Successfully Defends Two Professionals Facing Patient Allegations Before the Licensing Board

Recently Frier Levitt represented two medical professionals, a psychologist and a physician, in patient complaints before their respective professional licensing Boards. In one case, a patient alleged a psychologist engaged in discriminatory practices and failed to keep psychiatric records. After careful review and investigation, evidence was submitted to the Board of Psychological Examiners proving inaccuracies of the patient account. The Board cleared the psychologist of any wrongdoing and closed the...

How Medical Practices Should Respond to an Audit or Request for Documents

Payors audits are at an all-time high. Private payors employ third-party analytical firms to constantly run reports to find "outliers" and practices with coding aberrancies. While some audits are routine and pursuant to provider agreements, others could expose practices civilly and criminally. In order to properly triage an audit and determine how to address it, it is recommended that every practice engage in "preventative medicine": Practice Policies and Procedures Every...