In Billing
May 3rd, 2018
Prepayment review can be a headache for medical providers and staff—and those headaches increase if you fail to follow through with the required reviews, or to correct any billing and coding problems identified. Here’s a summary of what you need to know to help relieve the pain. When Is Prepayment Review Required? Prepayment review means ...
In Audit
Dec 2nd, 2011
Beginning Jan. 1, 2012, the Centers for Medicare & Medicaid Services (CMS) will begin three demonstration projects aimed at eliminating Medicare fraud, waste, and abuse, according to a Nov. 15 press release. The first of these, the Recovery Audit Prepayment Review, will allow Medicare recovery audit contractors (RACs) to review claims that historically result in ...