Audits


Observation Deck

The Time for Compliance Is Now

The reality is that the Affordable Care Act has made it mandatory for all healthcare providers, at some point, to implement a comprehensive compliance program that meets or exceeds government expectations. Why not make the investment of the front end to better prepare your organization, implement effective internal controls, improve the efficiency of your staff, and provide better quality of service to your patients?

Software System Audit Features

Word to the Wise: the KX Modifier

Surviving the Audit Tidal Wave

Products & Technology

Surviving the Audit Tidal Wave

Since the start of 2011, providers have been fending off a relentless onslaught of pre- and post-payment audits on Medicare claims. How can technology help them win this war of attrition?

Audits

The Big 10

Audits

Audits were the biggest issue immediately threatening the industry through 2011, and while the industry deals with the bidding of Round Two of competitive bidding, and works to advance the marketing pricing program as an alternative, audits will remain a serious issue for 2012.

Dream, VGM Partner for Audit Solution

VGM offers members discounts of HME prescription, documentation system that safeguards against audits.

HHS OIG: ZPICs Hindering Oversight

Report says Anti-Fraud Contractors used bad data to report workloads while being paid $22+ Billion.

MedPAC Proposes Additional HME Cuts

Reimbursement reductions part of $230 billion plan to cover doc fix.

Funding Fundamentals:

Are You Prepared for an Audit?

ZPICs mean no more business as usual in DME.

Audit Training Hits the Highway

Invacare, VGM 'Audit Roadshow' slated for various locations in August.



How to Protect your Business from Medicare Claims Audits

Pre- and post-payment audits are plaguing providers, and there are some key things they can do to shield themselves.

CMS to Audit its Audits

Criticism at fraud summit pushes agency to review complaints over its sharply increased claims audits.

Editor's Note:

We’re Not in This Alone

CMS is overstepping — to HME’s benefit.

CMS Audits: The Dam Has Burst

Providers have found themselves in a torrent of pre- and post-payment audits. What can they do?

Editor's Note

Le Mot Juste

There’s a word for why many CMS audits are downright wrong.

Van Halem Group Takes on HC Comply

Stribling departs Texas compliance company, which becomes compliance division of audit consulting firm.

AAHomecare Calls for Fairer Audits

Association pushing HHS OIG for ‘consistency, clarity, objectivity, and accountability.’

CMS: Round One ‘Very Smooth’

Industry refutes CMS’s glowing assessment at PAOC meeting.

CMS Owns Up in CPAP Flap

Incorrect application of policy in Jurisdiction D RAC audits led to improper recoupments.

Industry Meets With Lawmakers, Regulators

AAHomecare meets with House Committee Chairman’s staff, Florida associations and providers parlay with CMS’s Blum.

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