Medicare Compliance & Reimbursement
Feds Continue to Scrutinize MA Plans
Medicare Compliance & Reimbursement
- Fraud And Abuse:
Physician Convicted of COVID Accelerated and Advance Payment Fraud
Understand CMS’ rules on CAAP usage, reporting, and recoupment. As the COVID-19 public health emergency [...] - Audits:
Use This Advice to Better Explain Audit Results to Providers
Tip: Include practice management in the discussion if necessary. Whether you’ve performed an in-house audit [...] - Part B Coding Coach:
Know the Facts on Modifier 50
Warning: Payer policies may differ, so review the fine print. There are a plethora of [...] - Reader Question:
Pocket These Fundamentals on MIPS ‘Special Status’
Question: In the last issue, you mentioned “special status” and how it impacts Merit-Based Incentive Payment [...] - Industry Notes:
Prepare to Stop Using CR Modifier and DR Code Starting May 12
If your coding staff are used to adding the CR modifier and the DR code [...] - Industry Notes:
Feds Continue to Scrutinize MA Plans
Medicare Advantage plans have been the subject of both policy updates and scrutiny over the [...] - Review 4 Other COVID-Related Compliance Items to Know
If you’re a Medicare provider, chances are you received COVID relief money or took advantage [...]
