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Anesthesia Business Consultants, LLC
1,343 followers -
The largest physician billing and practice management company specializing exclusively in the practice of anesthesia and pain management.
The largest physician billing and practice management company specializing exclusively in the practice of anesthesia and pain management.

1,343 followers
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“The mark of the immature man is that he wants to die nobly for a cause, while the mark of the mature man is that he wants to live humbly for one.” Eddie Huang #quotes #WednesdayWisdom #practicemanagement
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NYC health & hospitals seeks $11.5M from UnitedHealthcare in denied medical claims. Read more from Modern Healthcare: http://ow.ly/Lfaa30k9p57 #painmanagement
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In 1944, Lidocaine was first used clinically as a local anesthetic. For more facts about the history of #anesthesia, visit the Wood Library Museum of #Anesthesiology: http://ow.ly/D4gP30k1R93
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W attend several conventions and shows throughout the year. Check out our News & Events page to see where we're headed next: http://ow.ly/oQG430k22Ky #medicalconvention #healthcare
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Legal Cases Underscore Compliance Lessons for Anesthesia and Pain Groups: Part 2

Although anesthesia and pain management groups have good reason to be concerned about the possibility of an audit in the current environment (see our May 14, 2018 eAlert), they can work proactively to minimize the risk of an adverse outcome (see the article on payer audits in our quarterly newsletter, Communiqué) by focusing diligently on compliance with all federal and state rules, regulations and policies. Staying informed about enforcement actions, settlements and lawsuits affecting anesthesia and chronic pain practices can help greatly in this regard.

At the Advanced Institute for Anesthesia Practice Management in Las Vegas, Detroit-based attorney Vicki Myckowiak, Esq., presented a variety of recent cases illustrating important lessons regarding current hot-button risk areas for anesthesia and pain management practices, compliance officers and practice managers. Following up on last week’s eAlert describing the consequences of pre-signing anesthesia records and incorrect anesthesia modifiers, we summarize two more cases, and lessons learned, from Ms. Myckowiak’s talk.

Unnecessary urinary drug tests (UDTs): In 2016, the Florida-based Coastal Spine and Pain Center agreed to pay $7.4 million to resolve allegations that it violated the False Claims Act (FCA) by performing medically unnecessary drug screening procedures. The settlement was for the practice’s use of quantitative drug tests to identify and count particles of illicit drugs in patients’ urine. These highly specific and expensive tests are appropriate only when there is reason to doubt a more general and less costly qualitative drug test. According to the U.S. Attorney’s Office for the Middle District of Florida, the practice performed qualitative UDTs for patients appropriately, but performed and billed for quantitative drug tests for all patients, regardless of the qualitative result or medical necessity.

The case was developed by the Department of Justice (DOJ) through a review of claims data that found the practice to be a statistical outlier in billing for quantitative drug test screens. In every instance in which the practice billed for a qualitative drug test screen, it also billed for a quantitative drug test screen—an outlier that prompted the DOJ investigation.
Read our full article here: http://ow.ly/i2ol30k84uz

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Discover how we can help you optimize your #practicemanagement strategy! Click here for information on our services: http://ow.ly/lwAX30k22RX #anesthesiology
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London hospitals to replace #doctors and #nurses with #AI for some tasks. Read more from The Guardian: http://ow.ly/Ybfo30k7BeB
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Our eAlerts are a great way to keep up with the latest in #anesthesiology and #painmanagement news! Sign up today! http://ow.ly/MJZN30k22CK
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"There are no miracles, there is only what you make." Tamara de Lempicka #practicemanagement #MondayMotivation
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Our latest eAlert is now available. Read it now: http://ow.ly/Usn730k6ATk #painmanagement #anesthesiology
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