In Audit
Apr 12th, 2019
Recovery Auditors have been busy. This year alone there are 23 topics under review and three more were just proposed. If you are coding/billing for any of the topics under review, this may be all the reason you need to conduct an internal review. Who Are They? Recovery Auditors, or Recover Audit Contractors (RACs), review ...
Audit results are an opportunity for providers to learn and improve billing accuracy. Last year, the Centers for Medicare & Medicaid Services (CMS) replaced its method of selecting targets for complex medical reviews with a new strategy called Targeted Probe and Educate (TPE). Medicare Administrative Contractors (MACs) will focus on providers who have the highest ...
In Audit
Jun 8th, 2016
The Centers for Medicare & Medicaid Services (CMS) has made a number of changes to the Recovery Audit Program for 2016. One of those changes is the length of time a provider has to submit a Discussion Request to a recovery audit contractor (RAC) following an automated review. CMS is also establishing Additional Documentation Request ...
Feb 1st, 2015
Grab attention and sell yourself in an instant. By Melba Miles Resumes are like billboards. A billboard needs to accomplish two goals within just a few seconds. First, it has to grab your attention so you look at it. Second, it needs to capture your interest long enough so you read the entire content, and ...
Understand two proposed rules and what they could mean for you. By Robert A. Pelaia, Esq., CPC, CPCO, and Drew Krieger, MBA The Office of Inspector General (OIG) released two proposed rules in May 2014 that would expand its authority to exclude individuals and entities from federal healthcare programs, and to impose civil monetary penalties (CMPs) ...