Author Archives: Joseph Rivet
$100,000 Penalty Against Mental Health Center – Failure to Provide Timely Access to Records
The Office of Civil Rights (OCR) imposed a $100,000 penalty against a California mental health facility, Rio Hondo [...]
Jan
Virginia Practice Pays $2M For False Documentation
A hospital in Virginia agreed to pay $2,378,731.06 for submitting claims to Medicaid that were improperly modified by the request of the practice’s employee. Here [...]
Jan
Verification of Benefits – Are Payers Bound by Those Calls?
Verification of Benefits (“VOB”) occurs nearly daily, and the practice relies on the information provided by the [...]
Jan
G2211 Can be Reported with Preventive Services
CMS Issued Transmittal 13015 on December 23, 2024, covering expanded reporting of G2211. CMS allows payment for G2211 when certain [...]
Jan
Michigan’s Senate Bill 27: Mental Health Reimbursement
Mental Health Reimbursement from Michigan’s Senate Bill 27 New Legislation Update— The 7 key breakdowns [...]
May
G2211 Visit Complexity Code: Simplified Requirements for Reimbursement
G2211 visit complexity is now payable. We explain the requirements in simplified easy to understand [...]
Mar
What Do Healthcare Law Firms Do?
Healthcare law firms are indispensable to medical providers. They provide comprehensive, ongoing legal services to [...]
Oct
Denials and Appeals – Don’t Leave Money on the Table
If your health insurance claim is denied by your provider, you may be feeling a [...]
Oct
Charging for Missed Appointments
Missed appointments occur occasionally, if not daily, at some practices. A missed appointment is potentially [...]
Sep
A Pause in Changing Winds for the No Surprises Act: New Ruling Rolls Back IDR Fees, Suspends HHS Portal
The No Surprises Act (NSA) has undergone sweeping legal changes over the last month. Since [...]
Sep