The Centers for Medicare & Medicaid Services recently announced new additional documentation request limits for Recovery Auditors that went into effect on January 1.
When does a review of 0.5% make sense?
By
Kristin Walter
Jul 24, 2017
Would you feel safe flying if airlines only inspected 0.5% of their fleet of planes?
Loophole allows low volume Medicare providers exemption from auditing
By
Kristin Walter
Dec 15, 2017
The current implementation of Medicare’s sliding scale ADR limit policy is preventing the recovery of improper payments and has afforded a significant portion of providers with immunity from billing...
Addressing improper billing
By
Kristin Walter
Mar 23, 2015
The government has put the RAC program on a shelf, while they determine how to deal with confusion among providers regarding billing short inpatient hospital stays. It’s time now to get the RAC program...
Amid dire economic reports, wasteful Medicare spending must stop
By
Kristin Walter
Jun 25, 2018
Given the significant financial pressures facing our federal government and with the health and economic security of nearly 48 million American seniors on the line, Congress must act now to authorize CMS...