03
Apr
stored in: Tim Rowan's Home Care Technology Report and tagged: auditors, audits, claim denials, CMS, compliance, documentation, federal legislation and audits, fraud and abuse, home healthcare, home healthcare claims, hospital claims, Medicare Audit Improvement Act, Medicare billing, quotas, rural healthcare
What does it mean when more than three-quarters of payment denials handed down by Medicare contractors are voided by Administrative Law Judges when appealed? Our conclusion, based on interviews over the years with home health care consultants who specialize in walking agencies through the appeal process, is that auditors at the RHHI, MAC, ZPIC […]
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