Healthcare IT Today

FEBRUARY 22, 2023

These programs, which care for more than 30 million of the nearly 64 million Medicare enrollees , operate on the cutting edge of health care and suffer serious problems in data collection and billing. A recent article of mine explored how CMS is using AI to find suspicious payments that deserve investigation.

Medicare 118

Medicare Medicare Overpayments Overpayment 118

Medisys Compliance

MARCH 7, 2022

In this article, we shared some basic guidelines and recent trends in medical audits and what providers can expect in such payer coding audits. In the unfortunate event when you receive such overpayment demand letters, don’t acquiesce without conducting an analysis first. What just happened? How could they do this?

Medical Billing 52

Medical Billing Medical Billing Outsourcing Overpayments Overpayment 52

Healthcare IT Today

FEBRUARY 2, 2024

The following is a guest article by Tom Magnotta, COO & President at Apixio Albert Einstein famously said , “Whoever is careless with the truth in small matters cannot be trusted with important matters.” It’s estimated that up to 80 percent of medical bills contain errors amounting to billions of dollars that are lost annually to payers.

Payment Systems 78

Payment Systems Overpayments Overpayment Medical Billing 78

Medisys Compliance

NOVEMBER 26, 2024

Skilled Nursing Facility (SNF) billing compliance is a critical aspect of healthcare revenue cycle management, ensuring accurate reimbursement and adherence to Medicare regulations. As healthcare providers navigate the complexities of SNF billing, maintaining compliance is essential to avoid penalties, denials, and financial losses.

Compliance 52

Compliance Medical Billing Outsourcing Medicare Medicare 52

Compliancy Group

FEBRUARY 7, 2024

CMS UPIC audits are designed to identify and prevent fraud, waste, and abuse within Medicare and Medicaid, ensuring that federal funds are used appropriately and that the services billed for are actually provided and are medically necessary. What is the Purpose of UPIC Audits?

Fraud 52

Fraud Compliance Medicare Medicare 52

Physician Credentialing Company

DECEMBER 4, 2024

The differences in CPT (Current Procedural Terminology) codes is one of the most important aspects of medical billing and coding for healthcare providers. In this article, well outline the main differences between these two codes, when each should be used and billing tips to ensure accurate payment.

Medical Billing 40

Medical Billing Overpayment Overpayments Electronic Medical Records 40

AIHC

MARCH 22, 2022

This article provides a basic overview of the importance of improving your appeals process to get denials overturned as it relates to overall revenue cycle management. Monitor Reports for Inappropriate Write-Offs Are accounts reconciled and overpayments identified and handled properly?

Overpayment 52

Overpayment Overpayments Medicare Medicare 52