When an audit action plan is working correctly, any HME business owner should immediately be able to answer three questions—how many audits did we get, how many have we responded to, and what were the results?
At a time when every last dollar is being scrutinized in Washington, CMS is slashing and burning an industry that saves millions by keeping people out of hospitals and nursing homes. It makes absolutely no sense.
DES PLAINES, Ill. – There's room to eliminate anywhere from $1.5 billion and $5 billion in DME fraud in a single year, according to a new report by the National Insurance Crime Bureau (NICB). The reason?
Gaining insight into the procedures that are most commonly denied by payers and evaluating the reason codes that accompany the denials can help suppliers modify their clinical documentation and billing practices to prevent denials, reduce claims rework, and improve their
When Jillian Longo joined The Audit Team in October, she brought with her insider knowledge from her previous role as an attorney adviser to administrative law judges (ALJs) with the Office of Medicare Hearings and Appeals.