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FDA Recalls
Coding
Minimum Documentation v. Appropriate Documentation
“I have a problem with the phrase ‘minimum documentation.’ I believe the correct phrase should be ‘appropriate documentation’.”
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FDA Recalls
Coding
What are Unified Program Integrity Contractor (UPIC) Audits?
CMS established the UPICs to consolidate program integrity activities formally performed by the Zone Program Integrity Contractors (ZPICs), Program Safeguard Contractors (PSCs), and Medicaid Integrity Contractors. As a result, UPICs are the only program integrity contractors that monitor both the Medicare fee-for-service (FFS) and Medicaid programs. UPICs are responsible for identifying and protecting against fraud, waste, and abuse using both pre-payment medical reviews and post-payment audits. UPIC audits should be taken very seriously as they can result in high-dollar extrapolated overpayment demands, payment suspensions, and referral to law enforcement for additional review.
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AI
When AI Impersonates Clinicians: What Private Practice Need to Know
AI Impersonates Clinicians: What You Need to Know
Artificial intelligence is rapidly entering everyday medical workflows—from documentation support and patient messaging to clinical decision support and triage tools. While these technologies can improve efficiency in private practice settings, a recent Pennsylvania lawsuit highlights an important and emerging risk: AI systems that appear to “act like clinicians” may be crossing into the unlicensed practice of medicine.
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HIPAA
Trust Is Not a Control: Vendor Vetting Requires Proof, Not Promises
With the inception of the world wide web and storing patient information electronically, offices have had to trust software vendors, cloud services, and third-party partners with their most sensitive information — ePHI.
But trust alone is not a control.
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