CMS Publishes First Issue of New Quarterly Provider Compliance Newsletter
The CMS Medicare Learning Network® (MLN) announced today the publication of the first issue of the new Medicare Quarterly Provider Compliance Newsletter. The purpose of the newsletter is to advise physicians, suppliers, and other FFS providers about how to avoid common billing errors and other erroneous activities when dealing with the…
Add the New CMS Publications Regarding RAC Issues to Your Reference Library
CMS has recently published two new MLN Matters on RAC issues that were identified during the RAC demonstration project. I recommend you add these two MLN Matters articles along with the first one in the series, SE1024 issued July 12, to your RAC reference library because there is good…
Recovery Audit Contractor (RAC) Demonstration High-Risk Medical Necessity Vulnerabilities for Inpatient Hospitals
CMS issued the second in a series of articles from the Medicare Learning Network on RAC high dollar payment vulnerabilities. (MLN Matters® Number: SE1027). With the expansion of the RAC Program and the initiation of complex medical necessity review in all four RAC regions, it is essential that providers…
CMS Holds Listening Session on Observation Status
On August 24, 2010, the Centers for Medicare & Medicaid Services (CMS) hosted a listening session regarding the recent trend of Medicare beneficiaries receiving extended observation care as a hospital outpatient.
CMS representatives on the call stated that CMS was concerned with the growth in number…
Healthcare Reform Nightmares: Sebelius Threatens Insurers
Health and Human Services Secretary Kathleen Sebelius sent a stern message to health insurers last week said in a letter to Karen Ignagni, president and CEO of America’s Health Insurance Plans. She warned that the federal government will not “stand idly by as insurers blame their…
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