MAC Audits

Judge reverses Medicare appeal ruling in inpatient rehab case


A federal District Court in Louisiana has reversed a Medicare Appeals Council ruling over denials for rehabilitation claims, including one involving an assisted living resident.

Providers should prepare to face even more audits under healthcare reform, expert warns


Providers need to have the appropriate staff and data analytics programs in place to defend against the onslaught of more Medicare and Medicaid claims audits, an expert urged.