Tag: Compliance Audit
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   Case Studies



10 February 2018 - 9:14, by , in Blog, Compliance, Comments off
The Recovery Audit Contractor (RAC) Performant Recovery, Inc. announced last month that they will conduct a complex home health review for documentation and medical necessity. They will do an annual additional development request (ADR) limit that will be one-half percent (0.5%) of the total Medicare paid claims from the previous year.
ZPIC Audits
24 January 2018 - 13:40, by , in Blog, Compliance, Comments off
Should your agency receive a ZPIC Audit being prepared is a key step to ensure documentation and billing compliance. Taking a proactive approach is necessary. Learn from our clinical compliance expert, Dee Geray, about the best steps to take to prevent a ZPIC audit...
Hospice Targeted Probe and Educate
9 November 2017 - 14:39, by , in Blog, Compliance, Comments off
Last month, Centers for Medicare and Medicaid Services (CMS) expanded the Targeted Probe and Educate (TPE) to include Hospice.
30 August 2017 - 18:28, by , in Blog, Compliance, Comments off
Due to the success of the Probe and Educate pilot from June 2016 to July 2017, CMS has announced that it will expand the initiative to all Medicare providers...
9 May 2017 - 9:27, by , in Blog, Compliance, Comments off
With CMS is conducting its second round, now is the best time to prepare for Probe and Educate and check up on your compliance plan...