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Regulatory review: Suspensions, overpayments and exemptions


WASHINGTON – From a regulatory perspective, the first several months of 2016 have brought pain, and a little bit of relief, to HME providers.

Is SMRC cherry-picking old claims?


YARMOUTH, Maine – StrategicHealthSolutions is digging deep in its latest round of post-pay reviews, industry stakeholders say: diabetes supply claims from 2011-2012.

Is CMS preparing for hunting season?

Friday, April 11, 2014
Jamie Loper
co-founder, DMEevalumate

As Elmer Fudd would say “Be vewwy, vewwy quiet...I'm hunting wabbits!” The Centers for Medicare and Medicaid Services (CMS) may not be hunting rabbits, but they’re hunting the very elusive greenbacks.

Meet SMRC, Medicare's newest audit contractor


WASHINGTON – StrategicHealthSolutions, a new audit contractor, has begun targeting claims for post-pay review. The problem, say stakeholders: Many have already been audited.