
CMS dropped 760,000 marketplace enrollees in a fraud sweep. Real-time eligibility checks keep the fallout from turning into denials.
Defunct payment policies, denied claims, and unchallenged audits all blled revenue from practices. Here's what it means and how to stop it.
Frank Cohen, at MGMA 2011, explains three common ways physicians lose revenue. Instead of working harder, follow your own financial policies, work your denied claims, and challenge any auditors. That'll keep the revenue in the bank.


