Medicare Administrative Contractors
A federal court has ruled a healthcare provider can sue to prevent a Medicare contractor from "clawing back" millions of dollars in suspected overpayment, a move that might otherwise send the business into bankruptcy.
Information security at nine selected Medicare administrative contractors, at least as of two years ago, was improving, according to a recent report by the Department of Health & Human Services Office of the Inspector General.
Medicare auditors would boost outreach and education efforts to long-term care and other providers under the provisions of a draft bill introduced Thursday by Rep. Kevin Brady (R-TX), chairman of the Ways and Means health subcommittee.
A new transmittal from the Centers for Medicare & Medicaid Services provides details about its four-part approach to implementing ICD-10 codes for Medicare fee-for-service claims. Medicare providers will be required to use these codes for dates of service on and after Oct. 1, 2014.
Too many Medicare providers are receiving improper payments, and the Centers for Medicare & Medicaid Services should clamp down by doing a better job overseeing its contractors' error rate reduction plans, according to a new government report.
Rep. Roger W. Williams (R-TX) has introduced a "trusted provider" bill in the House of Representatives. The measure would give Medicare claim review protections for those who pose a lower risk of submitting fraudulent claims.
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Medicare Administrative Contractors started a manual review process for outpatient therapy claims too quickly, setting the stage for chaos in late 2012, a government review has revealed.
There was no timely guidance for therapy contractors from the Centers for Medicare & Medicaid Services, according to a recent report from the Government Accountability Office. That resulted in a struggle to implement manual reviews for outpatient therapy claims at the end of 2012, the report says.
Providers will have their say about the future of Medicare Administrative Contractors.
The Centers for Medicare & Medicaid Services is asking providers to help figure out a way to make demands from Medicare Administrative Contractors less burdensome.
The Medicare contractors keeping close tabs on long-term care facilities will be subject to oversight too, according to a federal working plan released this week.