In July, Utah pain doctor Jahan Imani, MD, and Intermountain Medical Management, P.C., entered into a nearly $400,000 settlement with the OIG to resolve allegations that Imani’s practice submitted false or fraudulent claims due to improper modifier use for payment by improperly using modifier -59 with HCPCS code G0431.
Tom, a 29-year-old, unemployed construction worker living on the East Coast, decides to drive on his own to the West Coast in hopes of finding a job. He avoids rest stops to decrease his total trip time. Halfway through his trip, he gets in a serious auto accident caused by another driver. The accident occurs in a state with mandated auto insurance.
Length of stay (LOS) management requires ongoing attention from the director/manager of case management to stay on budget. Directors who divert their attention, even for a few weeks, might find themselves spending too much. To avoid this situation, consider implementing the six best practices for LOS maintenance.
Q: Our state child support enforcement agency requested the medical records of one of our pediatric patients. Are we allowed to respond to this request without a subpoena?
