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audits

Shift your mindset about audits

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10/22/2015

ATLANTA – Audits strike fear in the hearts of many providers.

CMS limits scope of audits

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09/01/2015

WASHINGTON – For redeterminations and reconsiderations of claims denied following a post-payment review or audit, CMS has instructed the MACs and QICs to limit their scope to the reason the claim or line item was initially denied, according to a recent MLN Matters article.

HME is getting more…well, sophisticated

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Tuesday, August 25, 2015

I was reading a study titled “Retrospective Assessment of Home Ventilation to Reduce Rehospitalization in Chronic Obstructive Pulmonary Disease” in the Journal of Clinical Sleep Medicine when I

GAO finds fragmented oversight of Medicaid

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06/16/2015

WASHINGTON – CMS needs to do a better job overseeing Medicaid managed care, the Government Accountability Office says in a report public released June 18.

AAH softens blow of Medicaid cuts

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05/29/2015

WASHINGTON – AAHomecare has successfully lobbied the House Energy and Commerce Committee to delay the start date for a provision reducing Medicaid payments to 2020 instead of 2016.

Blackburn’s bill seeks to expand prior authorizations

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05/26/2015

WASHINGTON – Rep. Marsha Blackburn, R-Tenn., introduced a bill last week that would require prior authorizations for high-dollar DME.

PFQC launches ‘Faces Behind the Red Tape’

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05/19/2015

WATERLOO, Iowa – People for Quality Care has launched a new online series called “Faces Behind the Red Tape” to document the impact of audits on Medicare beneficiaries.

GAO clears way for Connolly

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04/09/2015

WASHINGTON – CMS will likely move forward with Connolly as its contractor for the new national RAC for DMEPOS, home health and hospice, according to industry consultant Andrea Stark.

What’ll it be: Beer or wine?

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Thursday, March 26, 2015

With everything going on in Washington, D.C., these days, even for our little HME industry, is it any coincidence that AAHomecare has launched a Legislative Council?

Providers can now look up status of appeals

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03/03/2015

WASHINGTON – The Office of Medicare Hearings and Appeals has launched a new tool that allows providers to check the status of appeals at the administrative law judge level, AAHomecare reported this week.

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