Tag Archive | "audit"

$36.2 Billion in Improper Payments Means CMS Will Watch These Areas

Monday, February 5, 2018

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A 90.5 percent accuracy rate for Medicare Fee-for-Service (FFS) payments may not sound too bad, but consider that the 9.5 percent improper payment rate adds up to $36.2 billion! That’s the news from the 2017 Medicare Fee-for-Service Supplemental Improper Payment Data report based on Comprehensive Error Rate Testing (CERT). Smart move: Reviewing CERT results can […]

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3 Things You Can Do Today to Prepare for a RAC Audit

Wednesday, June 7, 2017

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What’s the first think you think of when you hear Recovery Audit Contractor? RACs have been around for a while (and not without controversy) as part of a Medicare program to find and correct past improper payments. Even folks who don’t get nervous at the thought of an audit probably don’t look forward to the […]

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4 Motivators for Sticking to the Coding Straight and Narrow

Monday, May 8, 2017

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If you ever take the “throw everything out there and see what sticks” approach to coding, it’s time to rethink that strategy. Carefully choosing the wrong codes to bring in more money is no way to code either. Next time you need inspiration to steer clear of these methods, reach for these four reasons coding […]

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What You Need to Know About the 2017 OIG Work Plan

Friday, January 13, 2017

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The 2017 HHS OIG Work Plan is out, revealing what’s in the crosshairs for special scrutiny. There’s a good chance there’s something in its 101 pages that affects you. Make sure your team’s work is up to scratch on these topics listed in the Medicare Parts A and B/Other Providers & Suppliers section of the […]

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