Medicare Audits

EHR Cloning Practices Can Lead to Medicare Audits

(December 26, 2013):  The Department of Health and Human Services (HHS) has long viewed the adoption of Electronic Health Records (EHRs) as a way to better coordinate care, improve the quality of care, reduce unnecessary paperwork, and eliminate duplicative medical testing.  Based, at least in part, on these beliefs, Congress authorized incentive payments to encourage the widespread …

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Medicare Audits in Miami, FL

(August 28, 2012): In this  feature, we focus on particular Medicare audits and appeals information for various ZPIC audit and RAC audit hotspots around the country. Check back in for information about Medicare audits and appeals in your city. Medicare Audits in Miami, FL: At-a-Glance Information: Miami Population: 408,750 (2011 Census) Medicare Administrative Contractor (MAC) …

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Healthcare Data Mining Audits: Impact on Medicare Providers and Suppliers

(June 27, 2012):  Healthcare data mining has become quite routine.  For instance, in a recent case involving a Missouri psychologist, the provider was indicted and arrested on two counts of healthcare fraud and forgery. At the heart of this case was the fact that the psychologist allegedly submitted claims to Medicare and Medicaid that were …

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NCI-Owned AdvanceMed Will Remain the ZPIC Responsible for Zones 2 and 5.

(April 10, 2011):  Last week, it was announced that NCI, Inc., one of the nation’s most successful information technology companies had acquired the outstanding capital stock of AdvanceMed Corporation (AdvanceMed), an affiliate of CSC.  While the acquisition went largely unnoticed by the health care provider community, the transaction may, in fact, be quite significant.  With this …

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