by Advize Admin | Feb 25, 2022 | Healthcare
The Comprehensive Error Rate Testing (CERT) program is a CMS initiative that seeks to identify national error rates in a variety of areas. Temporarily suspended due to COVID-19, the CERT program came back into action in August 2020. The program, in a...
by Erik Consorsha | Feb 4, 2022 | Healthcare Facepalm
Jamie Taylor received two letters from the Missouri Department of Social Services Family Support Division that began, “Good news,” before stating that she was denied Medicaid coverage. Her income exceeded the state’s limits for the federal-state public health...
by Erik Consorsha | Nov 12, 2020 | Coding, Fraud, FWA
The Fraud Spotlight series is a long-form examination of current fraud trends and investigative strategies from our team of retired OIG agents and expert fraud investigators. Stay tuned for weekly insights, updates, and information on healthcare’s most expensive...
by Erik Consorsha | Dec 27, 2016 | Coding, Compliance, Healthcare
If you’re in the healthcare industry – you’ve heard about MACRA. The Medicare Access and CHIP Authorization Act, Medicare’s two-track payment system for physicians and healthcare providers will be implemented on January 1st, 2017. Understanding the new system and...
by Erik Consorsha | Apr 26, 2016 | Coding, FWA, Payers
Billing issues, to an extent, are expected in any physician or healthcare provider office. Most patients are in possession of both medical and vision benefits coverage, and this duality often causes confusion in ophthalmology offices. Certain procedures that are...
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