Do All Medical Records Have Errors?

“One-hundred percent of medical records have errors,” Heather Gantzer, MD, immediate past chair of the American College of Physicians’ Board of Regents, told MedPage Today. Well, that is a strong quote.  Not sure we agree with all medical...

Targeted Probe and Educate (TPE) is Back

The tagline from the CMS Website is “When Medicare Claims are submitted accurately, everyone benefits.” First – TPE why do we even care?  Well, simple answer, it is a lovely little gift from CMS designed to help reduce claim denials and appeals through one-on-one...

Groundbreaking Week in Healthcare Fraud

We talk to you every week about trials and cases that are in our rearview mirror.  Often what we worked on directly.  Sometimes we talk about areas of interest like healthcare cost and changing policy.  Sometimes we bring you best practices based on our clients. ...