Recent RAC audits have detected two high risk vulnerabilities for physician claims are listed in Table below. These claims were denied because the demonstration RACs determined that either a duplicate... Read More >
nbsp In case you haven t heard, CMS is establishing an automated edit to deny Part A and B claim line s items that contain a GZ modifier. The GZ... Read More >
A physician hires a new nurse practitioner. The practice sends the provider application to Medicare to obtain a Medicare provider number for the NP. Because the NP was not physically... Read More >
nbsp The American Medical Group Association AMGA released on Feb. a book on healthcare integration that provides guidance on how to lay the groundwork for a successful accountable care organization... Read More >
Based on my experience, the following is the typical process on how a hospital goes about acquiring a physician practice these days is there anything you would add or revise?... Read More >
nbsp Frank Cohen recently completed a RAC survey of physician medical practices. Of those responding, were subject to a RAC audit sometime in the past. Of these, nearly stated that... Read More >
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