SEMINOLE COUNTY MEDICAL SOCIETY
February 17, 2009
1. Department of Health (DOH) Investigations:
-- "Medical Malpractice Investigator" or "Medical Quality Assurance Investigator"
-- "Uniform Complaint" is now called "Case Summary"
-- "Priority 1"
-- "25 Biggest Mistakes Physicians Make in DOH Investigations"
2. Medicare Audits by the Centers for Medicare & Medicaid Services (CMS), First Coast Service Options, Inc. (FCSO), and others:
-- Recovery Audit Contractors ("RAC" Audits)
-- "Place of Service" Audit Letters
3. "Disruptive Physician"
-- JCAHO "Alert" and renewed emphasis on eliminating "disruptive physicians"
-- Professionals Resources Network (PRN) and the
"Physicians Development Program" and "P.U.L.S.E."
-- Responding to Peer Review Requests