Tag Archive | "MAC"
Prepare for an External Audit with Internal Audit
© Canadian Bar Assn. Use these strategies to update your compliance plan before an auditor strikes if you can. Although an audit is a routine function that the…
Continue reading...4 Tips Keep Your Hospice Claims Compliant in 2010
Monday, January 11, 2010
Does your hospice have the ‘right stuff’ to ace compliance in 2010? The coming year will be as difficult as any the hospice industry has ever faced from a regulation and compliance perspective, the experts lament. Are you ready for…
Continue reading...Wrong Address on File? MACs Can Repeal Your Billing Rights
Monday, October 19, 2009
CMS instructs MACs to suss out sham health care operations. A favorite tactic of some Medicare fraudsters is to set up ‘dummy’ storefront operations that have billing addresses, but no real health care going on. The…
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...Stay a Step Ahead of the RACs With 2 Strategies
Wednesday, July 29, 2009
Question: We think we’ve found a billing system error at our SNF that may have led to some incorrectly coded claims. With the stepped-up MAC and RAC audits going on out there, what do we do? Answer: Giving your claims…
Continue reading...- Some Flowers & Some PHI
- Organized Crime Turns to Health Care Fraud
- Audit Alert: Ambulance Services for Part A SNF Residents
- Feds Pinpoint Therapy in Major NPP Incident To Snafus
- Senior Medicare Patrol Recovered $4.5 Million by Watching for Fraud and Abuse
- Keep Staff Up to Date on CPR, Physical Restraint Policies
- HHS Investigates Humana For Scary Flyer
- OIG Settlement Highlights Personal Accountability for Compliance Officers, CEOs
- Prepare for Increased Fraud Enforcement with Medicaid Compliance Plan
- HHS Issues New Interim Rule on HIPAA Penalties
- Lois Mazza: I too would like to know how a gift shop employee ...
- David B.: Sometimes even if the staff and all involved are a...
- Gary Brazzell: Thanks for the response and additional info!...
- Gary Brazzell: Aren't gift cards a "cash equivalent" and therefor...
- Editor: Hi Gary: Thanks for writing in. I didn't deal too ...
- Do You Have a “Direct Reporting Relationship” with Your Board?
- Feds Tell Employers to Give Young Adults Coverage
- How to Get Physician Buy-In on Compliance Programs
- United Settles with Physicians, Subscribers for $350M
- Should Health Care Organizations Equate Risk with Compliance?
- Wisconsin Passes Parity Law for Mentally Ill and Drug Abusers
- HHS Must Draft New Regs on Visitation, Advance Directives at Hospitals
- New York OMIG’s Game Plan: Follow the 1’s and 0’s
- New Health Care Reform Law Alters Stark “In-Office” Exception
- Get Ready for More Modifier 59 Scrutiny
Monday, June 7, 2010
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