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audits

Providers on denied claims: ‘We’ll fight to the end’

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09/12/2014

YARMOUTH, Maine – A defiant 60% of the respondents to last week’s HME NewsPoll say they wouldn’t take up CMS on an offer to settle pending appeals in exchange for partial payment.

In brief: CMS responds to AAH, complex rehab bill adds sponsors

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09/12/2014

WASHINGTON – Contractors conducting pre-pay audits and prior authorizations are required to load that information into the RAC Data Warehouse, CMS has said in response to an AAHomecare inquiry.

Here is the real story about audits

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09/09/2014

Editor’s note: The following is a letter to the editor from Van Miller that appeared in the Waterloo Cedar Falls Courier in July.

Audits: CMS makes concession to hospitals

‘What about us?’ HME providers ask
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09/05/2014

WASHINGTON – Could CMS’s offer to hospitals to resolve certain appeals in exchange for timely partial payment be something the agency also extends to HME providers?

Would you drop an appeal for partial payment?

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Tuesday, September 2, 2014

We’re used to CMS breaking news late on the Friday before a long holiday weekend. And Friday, Aug. 29, was no exception.

CMS applies ‘logic’ to documentation requirements for repairs

'It's a home run; it's not a grand slam'
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08/29/2014

WASHINGTON – In the face of mounting pressure from industry stakeholders and advocacy groups, CMS has changed its tune about documentation requirements for wheelchair repairs.

Advocates sue over 'broken' appeals system

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08/28/2014

WILLIMANTIC, Conn. – The Center for Medicare Advocacy has filed a nationwide class action lawsuit over lengthy Medicare appeals.

MED hosts fly-in

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08/15/2014

LUBBOCK, Texas – The MED Group, in conjunction with AAHomecare, will host a legislative fly-in at the W Hotel in Washington, D.C., on Sept. 10. The focus of the fly-in in will be to promote H.R.

In brief: GAO weighs in on audits, Liberator’s investments pay off

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08/15/2014

WASHINGTON – The Government Accountability Office (GAO) is calling on CMS to improve the efficiency and effectiveness of its post-payment review efforts by providing contractors with additional guidance and oversight.

Audits: GAO weighs in on duplicative reviews

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08/15/2014

WASHINGTON – The Government Accountability Office (GAO) is calling on CMS to improve the efficiency and effectiveness of its post-payment review efforts by providing contractors with additional guidance and more oversight.

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