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Audits

Audits

In order to prevail in golf, you need to know the nuances of the game. Likewise, physicians should know how to navigate HIPAA.

If you believe your practice is too small to warrant the attention of Recovery Audit Contractors, think again. Here are ways to prepare for scrutiny.

In a new ruling, CMS agrees to partially pay pending hospital claims in exchange for withdrawal of claims appeals.

In light of continuing Medicare fraud, it is vital to review your coding and billing procedures. Prevention is key to avoiding expensive take-backs.

Physicians face a wide variety of exposures beyond medical malpractice claims including both labor and tax claims for misclassified contractors.

Payers can no longer exclude patients due to pre-existing conditions, so they are resorting to other tactics.

The "recredentialing trap," strict payment reviews, and fingerprinting are all underway or on the horizon as ways payers are bullying physicians.

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