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audits

HIPAA audits could catch providers off guard

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03/25/2016

WASHINGTON – With the Office of Civil Rights gearing up for phase 2 of its HIPAA Audit Program, HME providers could be doing a better job of protecting patient information, legal experts say.

Audits: Get your strategy

Q. Help! I just received an audit request. What should I do to make this go smoothly?
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03/21/2016

A. From the moment an audit letter lands in your mailbox, to the day the files are organized and ready to go out the door, it is important to have an audit response strategy.

Audits: Be a bit of a sleuth

Q. Is there any way to know what types of equipment/supplies are being audited before I get the dreaded audit notice?
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02/22/2016

A. Believe it or not, you don’t have to be a fortune teller to predict what Medicare and its auditors have on their radar, but being a bit of a sleuth won’t hurt. Let me explain.

Audits: Audits on the rise

Q. Is it my imagination or have the last few months brought an influx of audits?
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01/25/2016

A. It is not your imagination! Aside from your standard DME MAC prepay and postpay audits, three contractors in particular have “upped their game,” so to speak, and the DMEPOS community is certainly feeling the pressure. 

More MA audits on the way?

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12/30/2015

WASHINGTON – CMS is considering expanding its RAC program for Medicare Advantage, according to a draft scope of work published by the agency.

CMS provides update on RACs

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11/17/2015

BALTIMORE – CMS has released requests for proposals for the next round of the recovery auditor contracts.

Shift your mindset about audits

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10/22/2015

ATLANTA – Audits strike fear in the hearts of many providers.

CMS limits scope of audits

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09/01/2015

WASHINGTON – For redeterminations and reconsiderations of claims denied following a post-payment review or audit, CMS has instructed the MACs and QICs to limit their scope to the reason the claim or line item was initially denied, according to a recent MLN Matters article.

HME is getting more…well, sophisticated

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Tuesday, August 25, 2015

I was reading a study titled “Retrospective Assessment of Home Ventilation to Reduce Rehospitalization in Chronic Obstructive Pulmonary Disease” in the Journal of Clinical Sleep Medicine when I

GAO finds fragmented oversight of Medicaid

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06/16/2015

WASHINGTON – CMS needs to do a better job overseeing Medicaid managed care, the Government Accountability Office says in a report public released June 18.

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