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In the previously mentioned article on CMS Manual System changes, I touched on the fact that you need to be organized. There is a second part to that CMS Manual change, and it deals with Monthly Appeals Reports and the proper method a RAC is to follow when they submit those reports. About a year [...]
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Continue ReadingWe get questioned from time to time about attorneys – specifically, do we want more attorneys to add to our list of RAC lawyers? . . . When the RAC sends a Demand Letter – or even a Request Letter – the clock is already ticking. It’s crucial that physicians take immediate action. Every doctor has an attorney, but what will be needed is specialized legal help from someone already familiar with the RAC appeal process and time frames. What they won’t need is an attorney who has to start from scratch.
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Continue ReadingAt the end of last month, the US Government Accountability Office (GAO) released a 52 page report detailing what it sees as a failure by the CMS to establish an adequate process to: address RAC-identified vulnerabilities that led to improper payments, such as paying duplicate claims for the same service. Additionally the: CMS has not [...]
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