MAC Audits

Judge reverses Medicare appeal ruling in inpatient rehab case

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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

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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.