ZPIC

Ask the payment expert ... about continuing RAC requests

Ask the payment expert ... about continuing RAC requests

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I thought the Recovery Audit Contractors (RACs) were on hold. Why did we still get a request for records?

Power to the people? That could mean trouble

Power to the people? That could mean trouble

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There are plenty of legal concerns that keep nursing home administrators awake at night. Many times, the demons can be kept under the bed or locked in the closet. But not always.

Frequent testing of risk models strengthens Medicare fraud prevention systems, official says

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Increasingly sophisticated fraud prevention systems are allowing the federal government to zero in on suspect billing in long-term care facilities, an official said Tuesday.

Nonprofit providers bear burden of more frequent compliance audits, survey finds

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Nonprofit healthcare providers are disproportionately targeted by outside compliance audits when compared to their for-profit counterparts, a new report asserts.

ZPICs: Dangerous and ready to take down providers

ZPICs: Dangerous and ready to take down providers

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Healthcare reform: No matter how much you may loathe it, there's no way around how certain ideas, like pay for performance, aren't going away.

Wearing the bull's eye not much fun

Wearing the bull's eye not much fun

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If you are a skilled care operator, it might seem as if a big target has been placed squarely on your back.

Letter: Provider group accuses CMS of using Medicare audits for 'stealth policymaking' purposes

Letter: Provider group accuses CMS of using Medicare audits for 'stealth policymaking' purposes

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A provider group is taking the Centers for Medicare & Medicaid Services to task for improperly using Medicare audits as a means of curtailing high-intensity therapy in skilled nursing facilities.