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How well are Statutory Documentation Requirements Decreasing CMS Program Risks?

by Denise Wilson | Apr 5, 2019 | Appeals, Insurance Denials, Revenue Cycle

The Government Accountability Office (GAO) issued a report on March 27, 2019, stating CMS should assess documentation necessary to identify improper payments. The study was performed on Medicare FFS and Medicaid FFS improper payment data for four selected services...

CMS Audits Highlight MAO Performance Problems Related to Denials

by Intersect Healthcare | Oct 22, 2018 | Appeal Writing, Medicare, Revenue Cycle

By R. Kendall Smith, Jr., MD, SFHM A report released by the HHS Office of Inspector General (OIG) in September 2018 found that Medicare Advantage Organizations (MAOs) overturned a jaw-dropping 75 percent of their own denials from 2014 to 2016. Even more startling was...

The Missing Wheel on the Revenue Cycle

by Intersect Healthcare | Jun 14, 2017 | Appeals, Insurance Denials, Resources, Revenue Cycle, Veracity Software

Practical steps to reduce insurance denials and steadily improve the bottom line By Kendall Smith, MD | Chief Physician Advisor to the Intersect Healthcare Leadership Team I was writing an appeal for a hospital system the other day to a large insurer. It was one of...

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PayerWatch is your ally in preventing denials and winning appeals. 

To better reflect our laser focus on serving healthcare providers, we are excited to announce that we are renaming Intersect Healthcare to PayerWatch.

For more information, please email info@payerwatch.com.

 

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