The Details Matter

An audit and compliance newsletter

January 7, 2015
by VanHalem Group
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Audit Alerts

DME contractors perform pre- and post-payment reviews on a continual basis. Through data analysis, the medical review department determines the codes they will review and then sends Additional Documentation Request letters to suppliers that bill those codes.

January 7, 2015
by VanHalem Group
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OIG Work Plan 2015

The Office of the Inspector General develops a work plan that summarizes new and ongoing reviews they plan to pursue during the current fiscal year. While the OIG conducts reviews with respect to all HHS programs, nearly 76 percent of … Continue reading

January 7, 2015
by VanHalem Group
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RAC Update

On December 30, 2014, the CMS announced that the National DMEPOS and Home Health & Hospice Recovery Audit contract had been awarded to Connolly, LLC. Connolly is no stranger to the RAC game, as they were previously the Region C … Continue reading

March 7, 2014
by Admin
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Don’t become complacent!

WASHINGTON – Industry stakeholders caution HME providers against putting too much stock in CMS’s announcement last week that it will not initiate new audits as it transitions to new recovery audit contractors (RACs). “Essentially, this is common that a contractor … Continue reading

January 25, 2014
by Admin
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Budget Deal Whacks Medicare Providers

WASHINGTON — It’s hard to discern in the budget deal announced Tuesday night, but the bulk of its deficit savings come from fresh cuts to Medicare providers. Under the proposal announced by Rep. Paul Ryan (R-Wis.) and Sen. Patty Murray (D-Wash.), chairs … Continue reading