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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...

Are CMS’ Local Coverage and National Coverage Determinations the Final Word?

by | Mar 18, 2015 | Appeals, Medical Records, Resources, Standards of Care

RAC, CERT, ZPIC, MAC. These are acronyms that send shudders through most hospital’s C-Suites, given their perpetually increasing aggressiveness of “un-paying” hospitals, and now physicians1. Understanding LCD’s and NCD’s A majority of these “un-payments”...

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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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