Health Law Update February 2009


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