Claims

Ready, set ... Just kidding! (ICD-10 adventures continue)

Ready, set ... Just kidding! (ICD-10 adventures continue)

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Is that how everyone is feeling about the ICD-10 delays? Well, that's how I'm feeling. We almost got within the six-month window for implementation. Just when we were all geared up and ready to go, the government pushes the deadlines out again for one more year.

The three C's are the key!

The three C's are the key!

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How do you justify the reason for rehab, length of stay and intensity of treatment? You turn to the 3 C's.

Life Care Centers of America denies massive Medicare fraud charges; judge criticizes feds in secret whistleblower case

Life Care Centers of America denies massive Medicare fraud charges; judge criticizes feds in secret whistleblower case

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A U.S. District Judge has called federal prosecutors' years-long delay in announcing a Medicare fraud case involving one of the nation's largest nursing home companies "absurd."

Medicare auditors becoming more active, denying more claims, survey shows

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Requests for medical records by Medicare's fraud-detecting recovery audit contractors (RACs) jumped sharply from the first- to the second-quarter of fiscal year 2012, a new survey reveals.

Long-term care providers: plenty of reasons to look over the shoulder

Long-term care providers: plenty of reasons to look over the shoulder

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As if sobering news weren't in deep enough supply for long-term care providers, we've been reminded again why the threat of getting sued usually lingers in the back of the mind.

Lack of documentation accounts for Medicare fee-for-service error rate

Medicare's fee-for-service error rate for fiscal 2010 would have fallen if compliance contractors had successfully obtained better claims documentation, a federal report found.

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