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Revocation of Your Medicare Billing Privileges.

Revocation of Your Medicare Billing Privileges.The revocation of your Medicare billing privileges can subject your practice to financial ruin!(December 14, 2017):  The Centers for Medicare and Medicaid...

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CBRs for Spinal Orthoses (CBR201803): What Do You Need to Know?

CBRs for Spinal Orthoses (CBR201803): What Do You Need to Know?(April 12, 2018): The Centers for Medicare & Medicaid Services (CMS) utilizes a variety of private contractors to process Medicare...

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OMHA Changes ALJ Hearing Case System

OMHA Changes ALJ Hearing Case System (March 2, 2012):  Likely recognizing the enormous disparity in Administrative Law Judge (ALJ) hearing workloads for its various Field Offices, the Office of...

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Healthcare Data Mining Audits: Impact on Medicare Providers and Suppliers

Healthcare Data Mining Audits: Impact on Medicare Providers and Suppliers (June 27, 2012):  Healthcare data mining has become quite routine.  For instance, in a recent case involving a Missouri...

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Choosing the Right ZPIC Audit Appeals Attorney: Who is Best for You?

Choosing the Right ZPIC Audit Appeals Attorney: Who is Best for You? (July 19, 2012): Choosing the right ZPIC audit appeals attorney to represent your practice  is possibly the most important step you...

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ZPIC Home Health Audits are Slated for the Future

ZPIC Home Health Audits are Slated for the Future (November 19, 2012): Zone Program Integrity Contractors, better known also as “ZPICs,” are continuing to focus on home health agencies (HHAs), hospice...

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Medicare Dental Audits are Being Conducted by ZPICs. Is Your Specialty Dental...

Medicare Dental Audits are Being Conducted by ZPICs. Is Your Specialty Dental Practice Ready? (January 18, 2013): Specialty dental practices around the country are receiving audit letters from “Zone...

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Home Health Prepayment Reviews are Increasing. Is Your Documentation Compliant?

Home Health Prepayment Reviews are Increasing. Is Your Documentation Compliant? (January 30, 2013):  Are the home health services you are currently providing compliant with applicable coverage,...

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Recovery Audit Contractor Changes will be Major in 2014

Recovery Audit Contractor Changes will be Major in 2014 (May 7, 2013):  The Recovery Audit Contractor (RAC) program is slated to undergo significant changes in 2014.  As discussed below, non-hospital...

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CMS Awards Zone 6 ZPIC Contract to SafeGuard Services

CMS Awards Zone 6 ZPIC Contract to SafeGuard Services (August 15, 2015): The Centers for Medicare and Medicaid Services (CMS) has awarded the contract for Zone Program Integrity Contractor (ZPIC)...

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