Subscribe to RSS - audits

audits

Auditors avoid appeals process, make ‘major’ requests

 - 
09/13/2019

YARMOUTH, Maine – If you’re an HME provider trying to appeal a denial by a managed care payer, it’s probably not going very smoothly, reports consultant Wayne van Halem.

QIC will transition from C2C to Maximus

 - 
06/28/2019

WASHINGTON – C2C Innovative Solutions has lost its bid to remain CMS’s Qualified Independent Contractor for HME, according to AAHomecare.

RAC to audit test strips

 - 
06/18/2019

WASHINGTON – Performant, the national RAC for DME, received approval from CMS on June 14 to audit blood glucose test strips (A4253) nationwide.

Home Oxygen Company earns another reprieve from audits

 - 
05/10/2019

MODESTO, Calif. – Home Oxygen Company has earned another reprieve from audits for oxygen, due its success ratio of more than 90% in recent audits, the company says.

Advocate at every level

 - 
02/22/2019

LAS VEGAS - Audits aren't going away, but providers who are proactive vs. reactive will see better results, says Juliet McBride, partner at King & Spalding LLP.

CMS tweaks TPE program

 - 
01/08/2019

WASHINGTON – CMS on Dec. 31 implemented the “TPE 10-Claim Preview Pilot” to help reduce the burden for compliant DME providers, AAHomecare reports.

OIG to CMS: Collect Medicaid overpayments

 - 
12/12/2018

WASHINGTON – CMS did not collect $1.6 billion in Medicaid overpayments in 77 current period audits and $188.6 million in seven prior period audits, according to a new report from the Office of Inspector General.

Stakeholders slam self-audits

 - 
10/12/2018

WASHINGTON – A recent request by the DME MAC contractors for certain CPAP providers to audit themselves is setting them up to fail, say industry stakeholders.

van Halem: ‘Aggressive’ UPICs take over

 - 
09/24/2018

ATLANTA – It’s time for HME providers to reacquaint themselves with the Unified Program Integrity Contractors, or UPICs, says Wayne van Halem.

Enteral nutrition, surgical dressings top error list

 - 
05/15/2018

WASHINGTON – Enteral nutrition had the highest error rate (87%) from Targeted Probe and Educate audits in Jurisdiction D.

Pages