We are into the Q3 of 2014 and this is the time of the
year when CMS becomes much more aggressive towards auditing providers to ensure
regulatory and reimbursement compliance. Plus it’s time to staying on top of
compliance requirements to get the reimbursement you deserve. Missing a single
update can cost you, whether it’s a fee schedule change. Medicare compliance
has become even more challenging with a number of regulatory and federal
changes implemented in 2014 and what's about to come for 2015.In the first
half of FY 2014, OIG reported 465 criminal actions against
individuals or entities that engaged in crimes against HHS programs; and 266
civil actions, which include false claims and unjust-enrichment lawsuits
filed in Federal district court, civil monetary penalties (CMP) settlements,
and administrative recoveries related to provider self-disclosure matters.
Heightened federal scrutiny and penalty enforcement have
physician practices/hospitals across the healthcare spectrum concerned that
even a genuine error might result your practice to come under some serious
scrutiny and unpleasant payback requests. You need to stay abreast with some of
the latest updates implemented by Medicare in 2014 and changes to be
implemented for 2015 to the Fee Schedule, Enrollment process, Documentation
Guidelines for compliant reimbursement, PECOS, NPP Reimbursements, OIG target
areas, ABN form updates, Medicare MSP Standards and much more.
HPP – AccuChecker, is today’s solution for the complex
world of Medical Reimbursement. The one tool with all the information you need
for Medical Coding:
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ICD-10
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PQRS
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HEDIS
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CCI
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LCD
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OnLine
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Consulting
Services
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MCAR –
Managed Care Reports
For
more details call 305-227-2383 or 1-877-935-9311
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