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Part 2: Understanding How Payers Deny Claims

AIHC

trillion government-wide from fiscal years 2003 through 2019. o These types of denials can potentially trigger a larger audit, a probe, or an abuse or fraud investigation of your organization CMS estimates the Medicare FFS improper payment rate through the Comprehensive Error Rate Testing (CERT) program. According to the U.S.

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What Are THE 3 Major Things Addressed in the HIPAA Law?

HIPAA Journal

Had the level of abuse and fraud in the healthcare industry been allowed to continue, tens of billions of dollars would have been lost to unscrupulous actors. It was not until 2002 that the Privacy Rule was published, and 2003 that the Security Rule was published. Abuse and Fraud in the Health Care Industry. $7

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