Frank Cohen - DoctorsManagement Frank Cohen - DoctorsManagement

What’s the “Real” Accuracy Rate for RAC Audits?

By 2017, Frank Cohen
What's the "Real" Accuracy Rate for RAC Audits By Frank Cohen, Director of Analytics and Business Intelligence On December 12 of 2016, the Council for Medicare Integrity released the “FY2015 Report To Congress: Recoveries Decline Due to Program Pause”, in which they claim how the government messed up recoupments by taking so long to get the...
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What’s All This Nonsense About ‘Transparency’?

By 2017, Frank Cohen
What’s All This Nonsense About ‘Transparency’? A few years ago, CMS, in a stated effort to be more transparent, released a database that contained most all of the procedures billed to Medicare by physicians for calendar year 2012. The next year, they released the same database for 2013 and earlier this year, they released the...
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How CERTain Are We About the CERT Results?

By 2016, Frank Cohen, Regulatory Compliance
How CERTain Are We About the CERT Results? By Frank Cohen, Director of Analytics and Business Intelligence As originally published by Racmonitor.com I recently was reading through the Nov. 15 Centers for Medicare & Medicaid Services (CMS) blog post written by Shantanu Agrawal, M.D., Deputy Administrator and Director for Center for Program Integrity, and Jennifer Main,...
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Send In The Clowns: The RACs are Back

By 2016, Frank Cohen
Send In The Clowns: The RACs are Back By Frank Cohen, Director of Analytics and Business Intelligence The RACs are back.  On October 31, CMS announced that they have awarded the next round of RAC contracts.  But I think they should have used the word “rewarded” instead of “awarded” since, at least in the past,...
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Conspiracy Or Incompetence? You Decide

By 2016, Frank Cohen
Conspiracy Or Incompetence?  You Decide By Frank Cohen, Director of Analytics and Business Intelligence According to a recent survey of Americans, only 17% were satisfied with the way our government is working.  And it’s no surprise since, in my opinion, the number one item that the government produces is confusion.  So, it should be no...
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