Court grants rehab provider relief while awaiting Medicare appeals
By
Kimberly Marselas
Mar 29, 2018
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...
Information security improves at Medicare contractors: OIG
By
John Hall
Apr 22, 2015
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...
Long-term care providers would receive more education from auditors under draft Medicare bill
By
Tim Mullaney
Aug 11, 2014
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...
CMS memo explains four-part testing approach for ICD-10 implementation
By
Tim Mullaney
Feb 20, 2014
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...
CMS needs to improve oversight of Medicare contractors’ error rate reduction plans, report says
By
Tim Mullaney
Jan 21, 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...
Faster payments for ‘trusted’ providers?
By
John O'Connor
Dec 01, 2013
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...
Ask the payment expert … about PEPPER reports
By
Patricia Boyer
Nov 01, 2013
What can you tell us about PEPPER reports?
GAO: Review process rushed
By
James M. Berklan
Aug 01, 2013
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.
Government report describes bungled manual review process for therapy claims
By
Tim Mullaney
Jul 12, 2013
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...
CMS wants burdens eased
By
James M. Berklan
Feb 01, 2013
Providers will have their say about the future of Medicare Administrative Contractors.