RAC Audits: Follow the Rules and We’ll Deny You Anyway
No one questions the right of any payor to audit its payments to detect fraud, patterns of abuse or patterns of error. Around $5.4 billion were returned to the Medicare …
‘Those Guidelines Don’t Apply to Me’
I was taking a peer review call from a pediatrician. For those of you who don’t know, a request for “peer review” means a physician-to-physician conversation about something that was …
Should the Public Hold Physicians to a Higher Standard?
Dr. Oz has defended his right to present what he has to say to the general public. Broadcast in 118 countries and to more than 3 million viewers, he defends …
Compromising on Principles
“Well, you know, Gus, principles are expensive.” I had just complained to my attorney that justice was not being served, and there were hard held principles being violated by the …