Alice Harris

Maynard Nexsen

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Latest Posts › Medicare Administrative Contractors (MAC)

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Billing Medicare or Medicaid? Understanding Your Audit Risk

If you are a healthcare provider enrolled with Medicare and Medicaid, it is imperative that you know the governmental agencies’ expectations for compliant billing and understand that the agencies constantly monitor and audit...more

7/12/2023 / Centers for Medicare & Medicaid Services (CMS) , Medicaid , Medicare , Medicare Administrative Contractors (MAC) , OIG , Recovery Audit Contractors (RACs) , Skilled Nursing Facility , SMRC

CMS Announces New “SNF 5-Claim Probe & Educate Review”

On June 8, 2023, the Centers for Medicare & Medicaid Services (CMS) announced a new nationwide audit of all skilled nursing facilities (SNF) and Hospital swing bed providers that submit claims for reimbursement to Medicare...more

6/20/2023 / Centers for Medicare & Medicaid Services (CMS) , Health Care Providers , Medicare , Medicare Administrative Contractors (MAC) , Skilled Nursing Facility

TPE Audits Are Back: What Providers Need to Know

The Centers for Medicare and Medicaid Services (CMS) announced that Targeted Probe and Educate (TPE) audits would resume on September 1, 2021. TPE audits had been suspended by CMS during the public health emergency. Unlike...more

9/7/2021 / Audits , Centers for Medicare & Medicaid Services (CMS) , Health Care Providers , Medicare Administrative Contractors (MAC)

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