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Displaying records 1 to 20 out of 1538 results for "False claims".
( Page 1 of 77 )
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The former CEO of Architrave Health has filed a federal lawsuit claiming he was fired for reporti
JANUARY 28, 2016
The Department of Justice (DOJ) recovered $5.69 billion in False Claims Act settlements in fiscal
MAY 14, 2014
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1. communication 2. g 3. True 4. False 5. False Staff trainer qui
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False claims penalties to double Penalties for fraud by healthcare provid
AUGUST 20, 2014
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NOVEMBER 20, 2013
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CMS recognizes the massive number of ultra-high therapy claims submitted by SNFs over the years
DECEMBER 9, 2016
After months and years of preparation, false starts, and delays, ICD-10 is here and medical pract
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  Medicare Review: Ways to evaluate claims
OCTOBER 2, 2015
  Resources for preparing vaccine claims
  Documentation terminology that will not support the Medicare claim
  Verify claim accuracy for ICD-10
NOVEMBER 6, 2013
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If a code is incorrectly assigned or a claim is rejected, HIM and
NOVEMBER 20, 2013
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As you submit electronic claims for services, remember that: C
OCTOBER 30, 2015
  New white paper: Using collaboration to achieve accurate diagnoses claims
  Compliance tip: The relationship between the assessment and the claim
  Streamline consolidated billing claim submission with this tool
  Claims for Medicare Diabetes Prevention Program services being denied
  Key documentation criteria for supporting the Medicare claim
SEPTEMBER 21, 2018
  Self-disclosure can alleviate--not eliminate--penalties for fraudulent claims
SEPTEMBER 14, 2018
Answer key 1. HIV, HBV, HCV 2. True 3. False 4. 10–1
1. True   2. False  
The RTP (return to provider) location should be reviewed/updated daily. RTP claims are claims tha
As of April 1, 2017, the Pre-Claim Review demonstration will be paused for at least 30 days in Il
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NOVEMBER 1, 2013
NOVEMBER 20, 2013
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NOVEMBER 20, 2013
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  Improvements to the Medicare Claims Appeal Process and Statistical Sampling MLN Connects Call
  CMS published additional instructions for processing updated Part B therapy claims
MARCH 30, 2018
  Update to Medicare Claims Processing Manual, Chapter 23, Section 60.3
SEPTEMBER 21, 2018
NOVEMBER 20, 2013
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Effective 04/01/2014, Medicare stopped accepting paper claims on the old CMS 1500 claim fo
The Centers for Medicare & Medicaid Services (CMS) has announced that the pre-claim review de
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NOVEMBER 20, 2013
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CMS accepted an average of 89% of ICD-10 claims submitted during the national front-end te
JUNE 4, 2014
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Home health agencies will now have their claims returned when Medicare systems fail to match thos
A new set of claims transaction rules has been approved by CAQH Committee on Operating Rules for
Agencies submitting claims under a waiver authorized in response to recent hurricane and wildfire
MACs use the Fiscal Intermediary Standard System (FISS) to process Medicare Part A claims. Hospic
CMS has instructed MACs to reprocess claims and providers to reimburse beneficiaries due t
  To help reduce the number of appeals over short-term inpatient stay claims, CMS
SEPTEMBER 4, 2014
CMS states in its comments that claims for “questionable encounters” will be returned
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  CMS has instructed MACs to reprocess claims and providers to reimburse beneficia
True or False: When taking a verbal order, it is essential to read back the order to the provider
NOVEMBER 19, 2013
The National Association for Home Care & Hospice (NAHC) has contacted CMS regarding claims th
Choose the pre-claim option. Be very assertive with the content of it, the record, in terms of wh
Long-term care providers will be able to appeal certain Medicare claims decisions without
Recovery Auditors have identified numerous potential duplicate claims from Medicare Part B provid
OCTOBER 14, 2015
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Providers should also make sure claims submitted over the ICD-10 transition date of October 1 a
The state of California is being sued by three nursing home residents who claim that they have b
FEBRUARY 26, 2016
There are several clearinghouse companies available to providers to submit claims electronically.
Q: Can a claim that is edited for a noncovered procedure be appealed?
by Josh Poltilove While agencies have choices when it comes to which claim revie
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Medicare may verify that the provider claims (physician office claims) contain the appropriate bi
A resident is suing the University of Texas Dell Medical School, claiming she was placed on proba
SEPTEMBER 11, 2015
Pre-claim review pilot goes live in Illinois—2 days late
Clearing up MA HIPPS codes on claims An explanation is in or
OCTOBER 1, 2014
For calendar years (CYs) 2010 and 2011, Medicare paid hospitals $711 million for claims that incl
A Recovery Auditor review of claims from September 25, 2012, to August 30, 2013, found pro
SEPTEMBER 16, 2015
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Documentation will be important to support supply utilization and payment. Claims
Providers may want to review claims containing HCPCS code C2623 (catheter, transluminal an
MSP claims?when billers must be detectives By Janet Potter,
On September 1, CMS published MLN Matters 10235 to supplement CMS Medicare Claims Processing Tran
SEPTEMBER 18, 2017
  A pair of lawsuits claim doctors in Southern California knowingly used counterfe
JULY 10, 2014
Many covered entities leave money on the table by neglecting to appeal denied Medicare claims. Re
Many covered entities leave money on the table by neglecting to appeal denied Medicare claims. Re
  Q: We have been receiving rejections of our claims with HCPCS code C1300 (hyp
Q: An auditor recently reviewed our outpatient ED claims and told us that we canno
The Office of the Inspector General (OIG) continues to target fraudulent Kwashiorkor claims. This
Use of claim adjustment reason (CARC) code 23 On November 14, CMS issued a transmi
Medicare’s Pre-Claim Review Demonstration (PCR) rollout has been anything but smooth, with
CMS updates CERT treatment of power mobility devices and ambulance transport claims
Recovery Auditors found that 16% of Medicare CT scan claims from July 2011 to June 2012 ha
Contractors given discretion to deny 'related' claims On August 8, CMS
A proposed rule would expand access and use of claims data and analysis,
MARCH 26, 2014
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  CMS recently updated the Medicare Claims Processing Manual, with changes
SEPTEMBER 17, 2014
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After the initial claim determination has been made, home health providers have the right to appe
Use of claims data could soon expand to a host of new entities under proposed rules released
Nurses at Methodist Health claim that the hospital docks lunch pay for breaks they aren’t a
OCTOBER 20, 2016
OIG adds review of Part A claims to the 2014 LTC Work Plan
AUGUST 1, 2014
Claims that are related   On August 8, CMS released a
CMS provides examples of claims that are related On August 8, CMS released a change
Statistical sampling initiative for claims begins The Office of Medicar
Copyright statement
SEPTEMBER 4, 2008
A study out of Canada offers a surprising counterclaim to a 2009 claim that surgical check
MARCH 19, 2014
OCTOBER 7, 2015
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On Aug. 25, CMS published Medicare Claims Processing Transmittal 3853, updating billing, payment
SEPTEMBER 4, 2017
A review of Medicare CT scan claims from July 2011 to June 2012 found that 16% claims had
APRIL 30, 2014
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CMS has instructed MACs to reprocess claims and providers to reimburse beneficiaries due t
OCTOBER 1, 2014
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Inpatient hospital claims and Medicare Secondary Payer (MSP) claims with Medicare Coins
CMS revises Medicare systems to accurately process inpatient hospital claims, MSP claims
CMS updates Medicare Claims Processing Manual to provide language-only changes f
Update to Medicare Claims Processing Manualto provide language-only changes for updatin
At the close of fiscal year 2013, nearly 5,000 claims denials remained pending review at the Departm
Federal investigators are investigating claims that unsafe practices by staff at Parkland Memoria
SEPTEMBER 3, 2014
Q: We have been receiving rejections on claims including a line item for a compounded d
Code claims accurately, prevent denials and secure every reimbursement dollar earned with the
Update to Medicare Claims Processing Manual, Chapters 12, 20, 32, and 35 to prov
SEPTEMBER 3, 2014
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ICD-10-related updates made to the Medicare Claims Processing Manual
ImproperICD-9-CM code assignment led to incorrect grouping of claims to MS-DRG 857 (postop
JULY 30, 2014
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Q: We just underwent an audit and the auditor took charges off the claim saying that th
Claims that are related   On September 12, CMS release
SEPTEMBER 23, 2014
Claims that are related On September 12, CMS released a fourth version
  In the 2016 IPPS final rule, CMS added three new claims-based measures and one s
OCTOBER 7, 2015
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Using claims data, the Agency of Healthcare Research and Quality (AHRQ) developed the preventable
MARCH 8, 2016
Code claims accurately, prevent denials and secure every reimbursement dollar earned with the
CMS releases fourth version of related claims transmittal On September
As of April 1, CMS will allow inpatient-only procedures to be included on inpatient claims simila
More small practices can quality for exclusions from the Quality Payment Program (QPP), claim har
Q: Our organization has recently experienced spikes in claim denials due to vari
Terms of use synopsis
SEPTEMBER 4, 2008
FEBRUARY 25, 2015
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OCTOBER 21, 2015
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