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Recent Posts

  1. Recovery audits result in changes to CMS systems and recoupment options

    Posted Tue, 07 Feb 2012

    This week CMS published two transmittals that affect CMS systems as a result of the recovery audit programs. One directs contractors to develop edits to avoid common overpayment situations the ...

  2. The conversion factor game

    Posted Thu, 02 Feb 2012

    Well it looks like 2012 is going to be déjà vu for the physicians who experienced multiple changes to the conversion factor in 2010.

  3. Timely filing and adjustment of hospital claims

    Posted Tue, 31 Jan 2012

    During a recent MBC-H class, one of the participants raised several questions about timely filing requirements for hospitals, including requirements for filing adjustment claims.  Unfortunately, this ...

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