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Note: This article appeared in Medical Practice Compliance Alert, a sister publication of Part B News.
 
Medical Practice Compliance Alert has previously outlined several steps physicians should take to protect themselves when they prescribe opioids, such as following Centers for Disease Control and Prevention and state clinical guidelines, complying with state laws that limit opioid prescribing, prescribing opioids only when medically necessary and avoiding relationships with pharmacies that may violate the anti-kickback law.
Continuing education units, AKA CEUs. We know you need them, that's why DecisionHealth offers AAPC CEUs for its coding and billing webinars. And we give everyone on your revenue team three ways to earn CEUs for the price of one registration fee.
Triage, a medical device used to diagnose heart issues, didn't work -- and its maker, Alere, charged with selling it anyway, just settled with the U.S. Department of Justice for $33.2 million.

Investigators and prosecutors continue to use their coding knowledge to wring big settlements from practices. These tactics have left four physician practices poorer by an average of $218,465, the U.S. Attorney’s Office for Maryland announced on March 16.

Question: How does the Supplemental Medical Review Contractor (SMRC) determine which reviews to perform? Does SMRC work for CMS or our Medicare administrative contractor (MAC)?

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