Comprehensive Error Rate Testing News Today

A new US House task force will look at how to reduce healthcare spending, including ways to modernize healthcare and support access to care. 

On June 8, 2023, the Centers for Medicare & Medicaid Services (CMS) announced a new nationwide audit of all skilled nursing facilities (SNF) and Hospital swing bed providers that submit...

Every US nursing home will be subject to an audit starting June 5 as regulators try to better assess and root out improper payments.

We’ve all been waiting for this. We knew it was coming! What am I speaking of? The May 4, 2023, notice of Skilled Nursing Facility (SNF) 5-Claim Probe and

CMS should honor its commitment to Medicare beneficiaries, especially those who began home respiratory therapy under the PHE, without requiring them to "restart" the documentation process. Requiring requalification would also be a nightmare for physicians who are already overwhelmed with patient demands.

Because Medicare and Medicaid claims audit requests can look like routine billing-related correspondence, they can be easy to miss, leading to expensive and potentially catastrophic...

This month, OIG updated its work plan to include a new Inpatient Rehabilitation Facility (IRF) Nationwide Audit. In explaining the new workstream, OIG cited high IRF error rates in...

A group of bicameral Republicans sent a letter to the CMS demanding the organization details plans to address improper payments in Medicaid.

WELLESLEY, Mass (PRWEB) February 08, 2022 -- As payers step up efforts to identify and recoup improper payments, hospitals and health systems require

The Supplemental Medical Review Contractor (“SMRC”) is a Centers for Medicare and Medicaid Services (“CMS”) contractor authorized to conduct nationwide medical reviews (Medicare Part A,...