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Monitoring and Tracking: Are You Tracking Your Audits?
So you know you are audited, you even know they are RAC audits, but what are you doing about it? How are you tracking what is audited, recouped, overturned, etc.? It is imperative that you are tracking every facet of every audit.
Evaluation and Management Services: Finding the Medical Necessity through Documentation Guidelines
Earlier this month RACmonitor informed us of the new U.S. Department of Health and Human Services Office of Inspector General (HHS OIG) release encouraging the Centers for Medicare & Medicaid Services (CMS) to place more scrutiny on evaluation and management (E&M) services,
Fines, Penalties, Recoupments Under Incident-To Services
Many physician practices insist on using incident-to billing for services rendered by non-physician providers (NPPs) in order to avoid the 15 percent reduction of Medicare’s allowed amount (though often they know little about the required guidelines).
