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Medicare Revocation Appeals
There are five levels of appeals: determination, redetermination, ALJ Hearing, Medicare Appeals Council Review and Judicial Review. Click here to learn more.
Just as it is illegal for you to take money from providers and suppliers in return for the referral of your Medicare and Medicaid patients, it is illegal for you to pay others to refer their Medicare and Medicaid patients to you. Click here to learn more.
The Tax Relief and Health Care Act of 2006 required a national RAC program for 2010. Whether or not you intended to overbill, the red flags are raised when health care providers submit claims that are not aligned with CMS coding policy. Click here to learn more.
The HIPAA Security Rule requires appropriate Administrative, Physical, and Technical Safeguards to ensure the confidentiality, integrity, and security of protected health information (PHI). Click here to learn more.