Improving Medicare billing oversight is an easy choice
By
Kristin Walter
Nov 16, 2018
While there are a lot of very tough financial decisions looming in order to address the federal budget, we ask Congress to make a simple one – please step forward and authorize a Medicare RAC prepayment...
Amid dire economic reports, wasteful Medicare spending must stop
By
Kristin Walter
Jun 25, 2018
Given the significant financial pressures facing our federal government and with the health and economic security of nearly 48 million American seniors on the line, Congress must act now to authorize CMS...
Congress should require more Medicare claim auditing — before and after payment
By
Kristin Walter
Mar 16, 2018
There is a much more efficient solution to reducing Medicare spending than the proposed broad cuts to the program budget: Reduce the billions of dollars in incorrect payments each year.
Loophole allows low volume Medicare providers exemption from auditing
By
Kristin Walter
Dec 15, 2017
The current implementation of Medicare’s sliding scale ADR limit policy is preventing the recovery of improper payments and has afforded a significant portion of providers with immunity from billing...
When does a review of 0.5% make sense?
By
Kristin Walter
Jul 24, 2017
Would you feel safe flying if airlines only inspected 0.5% of their fleet of planes?
Payment accuracy is a calling
By
Kristin Walter
May 22, 2017
Careers in the healthcare field span such a wide variety of applications – with some passionately drawn to provide care for vulnerable patients like children or the elderly, while others are attracted...
Congress, we must reform Medicare appeals
By
Kristin Walter
Oct 31, 2016
Ten years – that’s how long the U.S. Department of Health and Human Services Office of Medicare Hearings and Appeals estimates the Medicare appeals backlog of 750,000 cases will take to clear.
Are new RAC ADR limits fair to providers?
By
Kristin Walter
Jan 04, 2016
The Centers for Medicare & Medicaid Services recently announced new additional documentation request limits for Recovery Auditors that went into effect on January 1.
Why is it so easy to ignore Medicare improper payments?
By
Kristin Walter
Oct 28, 2015
Recovery auditors corrected more than $2.57 billion in improper payments for FY 2014 – representing 5% of the $46 billion in wasted taxpayer dollars the program lost in a comparable period to fraud,...
Misinformation about RAC program persists
By
Kristin Walter
Jul 13, 2015
Recently, the Medicare Payment Advisory Council released their Report to Congress on Medicare and the Health Care Delivery System…