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
A Victory for Radiology: New CMS Proposal Would Provide Coverage of CT Colonography in 2025
July 12th 2024In newly issued proposals addressing changes to coverage for Medicare services in 2025, the Centers for Medicare and Medicaid Services (CMS) announced its intent to provide coverage of computed tomography colonography (CTC) for Medicare beneficiaries in 2025.
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.
ACR Collaborative Model Leads to 35 Percent Improvement with Mammography Positioning Criteria
July 1st 2024Noting significant variation with facilities for achieving passing criteria for mammography positioning, researchers found that structured interventions, ranging from weekly auditing of images taken by technologists to mechanisms for feedback from radiologists to technologists, led to significant improvements in a multicenter study.
New Study Shows Non-Radiologists Interpreting 28 Percent of Imaging for Medicare Patients
June 28th 2024While radiologists interpreted approximately 99 percent of all non-cardiac CT, MRI and nuclear medicine studies in hospital and emergency department settings for Medicare beneficiaries, new research shows significantly less radiologist review of cardiac imaging and office-based imaging.