CMS Identifies Recovery Auditor Findings
For the first time since it began publishing a quarterly Medicare compliance newsletter, the Centers for Medicare & Medicaid Services has released CERT findings on problematic billing errors.
Unlike all of the preceding releases, the April issue of the Medicare Quarterly Provider Compliance Newsletter, CMS's seventh issue, contains comprehensive error rate testing (CERT) findings in addition to recovery auditor findings.
Find the strengths of your organization and develop a strategic marketing plan that promotes strong service lines to new and existing patients. According to Donna Wilson, RHIA, CCS, CCDS, senior director at Compliance Concepts in Wexford, PA., the inclusion of this new information should prove beneficial to providers.
"Including CERT findings is an added bonus to this priceless resource tool from Medicare," she said. "Providers should consider adding these issues to their internal compliance monitoring. Governmental auditing agencies use CERT, RAC, PEPPER, and OIG studies to detect suspicious billing practices."
- Two-Midnight Rule Must be Fixed or Replaced, Say Providers
- CDC Warns of Antibiotic Overuse in Hospitals
- Care Coordination Tough to Define, Measure
- Don't Underestimate Emotional Intelligence
- HIMSS: Software Bugs, Shifting Alliances Unsettling for CIOs
- The Secret to Physician Engagement? It's Not Better Pay
- SCOTUS Review of NC Board Case 'A Very Big Deal' to Providers
- Evidence-Based Practice and Nursing Research: Avoiding Confusion
- AHRQ: Surgical Admissions Bring 48% of Hospital Revenue
- Yale New Haven Health Partners with Tenet Healthcare in CT