6 Tips to Get Paid by Medicare

By | 2017, Frank Cohen, Regulatory Compliance
6 Tips to Get Paid by Medicare By Frank Cohen, Director of Analytics and Business Intelligence As originally published by gopractice.kareo.com Accepting Medicare is one of many ways in which physicians can expand their practices. (See my previous article on the Pros and Cons of Medicare for Independent Practices.) That’s because even despite often having a lower fee schedule, Medicare...
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Pros and Cons of Medicare for Independent Practices

By | 2017, Frank Cohen, Regulatory Compliance
Pros and Cons of Medicare for Independent Practices By Frank Cohen, Director of Analytics and Business Intelligence As originally published by gopractice.kareo.com These days, there’s no shortage of payers in the healthcare marketplace, and many physicians choose to contract with those that pay the highest rates. This strategy means that Medicare—a payer that often pays the lowest rates—falls...
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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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