All healthcare practices are susceptible to an audit, guilty or not. Make sure your radiology practice is prepared.
The Lindenhurst, N.Y. headquarters of Zwanger-Pesiri Radiology, a large, well-known practice, was raided by federal agents last week in response to allegations that the company was engaged in a multimillion-dollar Medicare fraud, according to an article in Newsday.
Agents from the Department of Health and Human Services’ Inspector General’s office, the FBI and Eastern District prosecutors are investigating allegations that the company vastly overbilled the federal Medicare program for its services. The company operates 12 medical offices in the Long Island, N.Y. area.
This recent event reiterates the importance of accurate reporting, as healthcare providers continue to face increasing threats of audits. Here are a couple links with stories we’ve done that could help practices that are concerned about an audit:
What Radiology Facilities Need to Know about Medicare Audits
Facing an Audit? Here’s What You Need to Know
Appealing Prior Authorization Denials: Can it be Effective for Emerging Technologies?
May 14th 2024While radiologists and other providers may be discouraged by insurer denials saying the use of a technological advance is “unproven and investigational,” 82 percent of appeals for prior authorization denials were approved in 2021.
The Reading Room: Artificial Intelligence: What RSNA 2020 Offered, and What 2021 Could Bring
December 5th 2020Nina Kottler, M.D., chief medical officer of AI at Radiology Partners, discusses, during RSNA 2020, what new developments the annual meeting provided about these technologies, sessions to access, and what to expect in the coming year.
Female Representation in Radiology: Where Things Stand
March 25th 2024Women comprise nearly 80 percent of breast imaging departments and 45 percent of pediatric radiology departments at academic institutions, but burnout, the COVID-19 pandemic and discrimination have impeded further progress in radiology, according to a recently published literature review.