Tag Archive | "audit"
OIG’s New ‘Compendium’ Reveals Possible Part A& B Audit Targets
The OIG has combined the old red book and orange book to come up with a “Compendium of Unimplemented Recommendations,” the latest of which was published earlier this month. The document notes outstanding recommendations to save money in Medicare…
Continue reading...Are You RAC-Ready, Healthcare Providers?
Friday, March 5, 2010
Today’s the day you learn how much you know about the RACs, and how prepared you are for them to launch fishing expeditions into your claims. Last week, we posted this RAC quiz,…
Continue reading...OIG Wants CMS to Train RACs to Spot Fraud
Monday, February 22, 2010
Dirty little secret: The RACs flagged $1.03 billion in improper payments — and only 2 cases of fraud. If you’re wondering how often a Recovery Audit Contractor’s review of overpayments turns into a federal fraud investigation, a
Continue reading...Physician Compliance: OIG Will Stay ‘Aggressive’
Monday, December 14, 2009
Why the OIG is looking to sock it to ophthalmology services, chiropractic, ultrasound & other Medicare procedures. If you’ve ever wondered whether the OIG collects on its audits, the agency’s new report answers that question to the tune of $20.97…
Continue reading...Medicaid Compliance: 3 Rules Help You Guard Against MICs
Monday, December 14, 2009
Find out how these auditors work — and the one way to get on equal footing. Dealing with Medicaid Integrity Contractors is tough, so we gathered 3 rules from attorneys to help you understand and deal with the MICs. Rule No. 1:…
Continue reading...Who Holds the Keys to Your Organization’s EHRs?
Tuesday, September 1, 2009
Experts show you how to sniff out security leaks, sometimes where you least expect them. If your organization is not already conducting regular audits of its electronic health records (EHR), you might be in for a surprise — and it could…
Continue reading...Part B Audit Squeeze: Pressure Reducing Support Surfaces
Tuesday, August 25, 2009
You’ll see more medical review for pressure reducing support surfaces if the OIG gets its way. Inappropriate Medicare payments for pressure reducing support surfaces amounted to about $33 million for these items during the first half of 2007 alone,…
Continue reading...7 RAC Part B Audit Hot Spots Revealed
Tuesday, August 25, 2009
Warning: Even if you voluntarily refund improper payments to your MAC, the RAC might still audit the claim. If you’ve been sweating it out, waiting for the recovery audit contractors (RACs) to announce where they’ll focus their audit efforts, two…
Continue reading...Look for RACs to Target Ultrasound Claims
Monday, July 20, 2009
Plus: The OIG identifies 20 counties it classifies as “high use” for ultrasounds. The OIG is watching ultrasound claims – and it doesn’t like what it sees. An OIG audit of ultrasound services billed in 2007 found that nearly one…
Continue reading...Brace For a RAC Attack on Home Care
Tuesday, June 2, 2009
Heads out of the sand, HHAs. Auditors will target these 3 home health billing hot spots, experts predict. HHAs: If you’re ducking your head, hoping Recovery Audit Contractor reviews will pass…
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Monday, March 22, 2010
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