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Medicare Place of Service Audits Show “Most” Part B Claims Have Incorrect POS

by Mary Pat Whaley | Jul 16, 2012 | Collections, Billing & Coding, Day-to-Day Operations, Medicare & Reimbursement

You wouldn’t think that a simple thing like the place of service would have the potential to cause a $9.5M overpayment by Medicare. But that is the figure the OIG (Office of the Inspector General) says it estimates that Medicare contractors overpaid physicians...

The Best of Manage My Practice – October, 2011 Edition

by Abraham Whaley | Nov 3, 2011 | A Career in Practice Management, Collections, Billing & Coding, Day-to-Day Operations, Finance, General, Medicare & Reimbursement

As we finish off another month here at MMP, we wanted to go back over some of our most popular posts from the month and get ready for another busy,  productive, and meaningful month. Presenting, The Best of Manage My Practice, October 2011! Are you ready for the...

Your Guide to the 2012 OIG Work Plan: Does Anything on This List Worry You?

by Mary Pat Whaley | Oct 26, 2011 | Collections, Billing & Coding, Compliance, Electronic Medical Records, Medicare & Reimbursement

Here are some highlights from the new OIG Work Plan for FY 2012. There are more items that apply to practices, as well as items for hospitals, nursing facilities, home health, and medical equipment and supplies. The link to the complete plan is at the end of the...

Medicare is Auditing You! What To Do Next?

by Mary Pat Whaley | Jan 30, 2011 | Medicare & Reimbursement

There are a number of different audits that are carried out by Medicare-contracted auditors.  It’s important to know the differences and have a plan for responding. CERT stands for Comprehensive Error Rate Testing and CERT audits were initiated in 2000. The...

The RAC Outreach Session: Get Your Medical Practice Ready Now!

by Mary Pat Whaley | Aug 5, 2009 | Medicare & Reimbursement

Today I was fortunate enough to attend an outreach session designed to educate hospitals, physicians and other providers about Recovery Audit Contractors (RAC), specifically Connolly Consulting, the RAC for North Carolina.  Although I cannot vouch that the information...

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