The Night Before Auditing (A Medical Auditor’s Tale)

The Night Before Auditing (A Medical Auditor’s Tale)

‘Twas the night before auditing, and all through the floor, The auditors prepped, ready to explore. The charts were all stacked, each file in its place, While audit reports awaited their grace. The coders were dreaming of claims they’d submit, But the...

Eligibility: What Is It, Anyway?

Eligibility: What Is It, Anyway? April 2024 Beth Timpson Schleeper, COC, CPC, CPCO, CDEO, CPB, CPMA, CPPM, CRC, CPC-I, CEMC, CANPC, CEMA, CMCS, CMRS To be sure that your practice is paid for services rendered, you want to verify every patient’s eligibility for medical...
The CERT Program

The CERT Program

What It Is and What a Practice Needs to Know The Comprehensive Error Rate Testing (CERT) program is a crucial component of the Medicare program that helps ensure the government is paying only for the services and care that beneficiaries actually receive. The program...

Telehealth and the OIG Work Plan

The pandemic and the public health emergency (PHE) it brought along with it, have changed how health care is delivered.  Commercial payors have been more amenable to paying for telehealth services in prior years.  Due to the pandemic, CMS decided to relax its...
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