Home Healthcare Medicaid Denials
Overview If you are a Georgia Home Healthcare service provider, then you will need to pay close attention to this article, especially as it pertains to nutritional counseling. The State government is scrutinizing this type of service and the related billing. Denial Reasons and Corrective Action For example, if a claim for nutritional counseling has […]
CMS Audits Home Health Agencies
Determining Provider Compliance with Home Health Quality Reporting Program Requirements Section 1895(b)(3)(B)(v)(I) of the Act states that: “For 2007 and each subsequent year, in the case of a home health agency that does not submit data to the Secretary in accordance with subclause (II) with respect to such a year, the home health market basket […]
Medicare RAC Program Audit
Medicare Recovery Audit Contractors (RAC) Congress created the Medicare Recovery Audit Contractor (RAC) program to help identify improper Medicare payments. RAC auditors are private contractors paid a commission by the government to: However, bounty-hunter-like incentives cause physician practices undue hardship, expense, and time away from patients. The American Medical Association (AMA) strives to ensure that […]
Medicare Audit Atlanta
Who Is Performing These Audits? Medicare Administrative Contractors (MACs)Recovery Audit Contractors (RACs)Medicare RACs & Medicaid RACsDME, Home Health and Hospice RACZone Program Integrity Contractors (ZPICs)Comprehensive Error Rate Testing (CERT)Supplemental Medical Review Contractor (SMRC)Unified Program Integrity Contractors (UPICs)Office of Inspector General (OIG) audits Brief Overview MACs are private companies that serve as contractors performing claims administration […]