Healthcare IT Today
FEBRUARY 22, 2023
These programs, which care for more than 30 million of the nearly 64 million Medicare enrollees , operate on the cutting edge of health care and suffer serious problems in data collection and billing. A recent article of mine explored how CMS is using AI to find suspicious payments that deserve investigation.
Healthcare IT Today
FEBRUARY 2, 2024
The following is a guest article by Tom Magnotta, COO & President at Apixio Albert Einstein famously said , “Whoever is careless with the truth in small matters cannot be trusted with important matters.” It’s estimated that up to 80 percent of medical bills contain errors amounting to billions of dollars that are lost annually to payers.
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Compliancy Group
FEBRUARY 7, 2024
CMS UPIC audits are designed to identify and prevent fraud, waste, and abuse within Medicare and Medicaid, ensuring that federal funds are used appropriately and that the services billed for are actually provided and are medically necessary. What is the Purpose of UPIC Audits?
Medisys Compliance
MARCH 7, 2022
In this article, we shared some basic guidelines and recent trends in medical audits and what providers can expect in such payer coding audits. In the unfortunate event when you receive such overpayment demand letters, don’t acquiesce without conducting an analysis first. What just happened? How could they do this?
AIHC
MARCH 22, 2022
This article provides a basic overview of the importance of improving your appeals process to get denials overturned as it relates to overall revenue cycle management. Monitor Reports for Inappropriate Write-Offs Are accounts reconciled and overpayments identified and handled properly?
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