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...
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...
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...
