May 1st, 2012
Understand your use of CPT® codes prone to audit review. By Stacy Harper, JD, MHSA, CPC In the current regulatory environment, physicians are searching for ways to minimize audit exposure. Medicare administrative contractors (MACs) frequently review high-level evaluation and management (E/M) services. Review may be based on a random sample, or targeted based on provider ...
In Audit
Dec 30th, 2011
Influenced by the opinion of the American Hospital Association (AHA) and state and regional hospital associations, CMS recently announced that it is revising its alleged overpayments demand letter sent to health care providers under the Medicare Recovery Audit Contractor (RAC) program. CMS Hears Call for RAC Demand Letter Improvement was last modified: January 2nd, 2012 by admin ...
In Audit
Sep 16th, 2011
Is your office getting calls from various Medicare entities regarding medical records, documentation, and other information? Are you wondering, “What’s going on?” You should; and you’re not alone. After fielding calls from providers who were confused about the responsibilities of several entities and what they can and should not share, the Centers for Medicare & ...
In CMS
Apr 5th, 2010
If you receive the Centers for Medicare & Medicaid Services (CMS) Transmittals in your e-mail inbox, you already know that Version 5010 testing is well underway. Version 5010 implementation policy is part of the Health Insurance Reform modifications to Health Insurance Portability and Accountability Act (HIPAA) final rules published in the Federal Register on Jan. 16, ...
In CMS
Apr 5th, 2010
The Centers for Medicare & Medicaid Services’ (CMS’) policy Change Request (CR) 6698 clarifies and updates signature guidelines for medical review purposes of the Program Integrity Manual (PIM). Meet Signature Requirements for Medical Review was last modified: July 5th, 2011 by admin aapc...