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audits

Medicare contractors 'nitpicking' claims

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06/20/2014

A recent bulletin stating that a prepay review of diabetes testing supplies resulted in a claim error rate of 99.2% doesn’t seem right, say providers.

Audit relief: CGS explains denials, excludes certain providers

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06/20/2014

NASHVILLE, Tenn. – CGS Administrators has agreed to make two concessions that should make audits less hair-raising for HME providers in Jurisdiction C.

In brief: Lawmakers introduce bid bill, SBA hosts stakeholders at hearing

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06/20/2014

WASHINGTON – Reps. Pat Tiberi, R-Ohio, and John Larson, D-Conn., have introduced a bill that would require providers to obtain bid bonds as part of future rounds of competitive bidding. H.R.

Bid, audit bills near prime time

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06/13/2014

WASHINGTON – Industry stakeholders expect Reps. Pat Tiberi, R-Ohio, and John Larson, D-Conn., to lead a group of lawmakers in introducing a bill this week that would require HME providers to obtain bid bonds as part of the competitive bidding program.

VGM, The van Halem Group merge

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06/10/2014

WATERLOO, Iowa – The VGM Group and The van Halem Group have merged, allowing the member services organization to offer “an array of mission-critical professional services” related to audits.

Is SMRC cherry-picking old claims?

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06/06/2014

YARMOUTH, Maine – StrategicHealthSolutions is digging deep in its latest round of post-pay reviews, industry stakeholders say: diabetes supply claims from 2011-2012.

Lawmakers voice concerns on audits

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05/23/2014

WASHINGTON – Industry stakeholders say a Congressional hearing last week on audits is likely the first of many such hearings on the issue.

Audits: ‘Guilty until proven innocent’

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05/21/2014

WASHINGTON – A subcommittee hearing on audits yesterday shows that lawmakers are getting the message.

Providers to contractors: ‘Get it right’ the first time

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05/16/2014

YARMOUTH, Maine – HME providers say they’ve had some luck getting Medicare contractors to reopen and overturn denials, but it’s not always easy.

VGM to roll out Audit Task Force

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05/16/2014

WATERLOO, Iowa – The VGM Group’s U.S. Rehab will roll out an Audit Task Force at its Heartland Conference, June 9 through June 12, said U.S. Rehab President Greg Packer.

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