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The ABCs of Medicare and Medicaid Claims Audits: Responding to Audits and Potential Consequences from Negative Audits | Bass, Berry & Sims PLC

As addressed in the first installment of this three-part series, healthcare providers face potential audits from an increasing number of Medicare and Medicaid contractors. Failing to...
Program Integrity Contractor Centers For Medicare Medicaid Department Of Justice Medicare Program Integrity Manual Quality Improvement Organization Berry Sims

Navigating the Medicare Overpayment Appeals Process

Providers that receive overpayment determinations should be aware of the various available options to be able to make good strategic decisions such as halting recoupment. Providers are under an obligation to report and refund any overpayment it identifies within 60 days.
Medicare Appeals Council Notice Of Program Reimbursement Additional Documentation Requests Medicare Administrative Contractor Qualified Independent Contractor Medicare Secondary Payer

More on Understanding the Medicare Overpayment Appeals Process | Nelson Mullins Riley & Scarborough LLP

The initial article on this subject discussed generally why Medicare providers need to understand the Medicare administrative appeals process, especially in connection with overpayment...
Medicare Appeals Council Notice Of Program Reimbursement Nelson Mullins Riley Scarborough Nelson Mullins Riley Additional Documentation Requests Medicare Administrative Contractor

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