Corporate Compliance

Not getting correct reimbursements?

Health Care Auditing Strategies, January 1, 2007

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Experts offer reasons to challenge regulations

Congress. The OIG. Fiscal intermediaries. CMS. They all have some say in how reimbursement flows through the healthcare system into your business. It's a well-oiled process when it works-but when the system breaks down, it can look more like a rat's nest.

Auditors and compliance officers have several legal options when they begin trying to recoup needed reimbursements that are hung up in the system, says Andrew Ruskin, Esq., attorney at law firm Vinson & Elkins in Washington, DC.

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