Medisys Compliance
JULY 5, 2022
What is Medicare Overpayment? An overpayment is a payment made to a provider exceeding amounts due and payable according to existing laws and regulations. Identified overpayments are debts owed to the federal government. Laws and regulations require CMS recover overpayments. Medicare Overpayment Collection Process.
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. Inaccurate or fraudulent billing can trigger a UPIC audit.
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Healthcare IT Today
FEBRUARY 2, 2024
Payment integrity is essential for ensuring financial accuracy, maintaining compliance with regulations, optimizing the healthcare delivery system, and removing administrative waste, which impacts the focus on patient care and quality outcomes. This reactive model leads to only ~70% of identified overpayments being recovered and/or corrected.
Medisys Compliance
MARCH 7, 2022
In the unfortunate event when you receive such overpayment demand letters, don’t acquiesce without conducting an analysis first. Medisys Data Solutions is a leading medical billing company providing complete medical billing and coding services.
AIHC
MARCH 22, 2022
We recommend formal training in denials and appeals management and encourage medical billing companies and practice managers gain better insight into accounts receivable (A/R) management through online training and certification. Revenue Cycle Managers are encouraged to obtain some training in compliance auditing.
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