Blog: Internal Auditing as it Relates to Medical Review
Ashley Duggan May 9, 2023
Self-identification of errors in billing or documentation is a powerful tool toward minimizing medical review risk. Recognizing and correcting deficient
Self-identification of errors in billing or documentation is a powerful tool toward minimizing medical review risk. Recognizing and correcting deficient
On 5/4/23, CMS alerted providers of a 5-claim PDPM probe review to be conducted by Medicare Administrative Contractors (MACs) for
Lack of substantiation of MDS Section GG is frequently a citation among medical review findings, especially from Managed Care audit
To many, the multiple contractor requests that comprise the world of medical review are simply summarized as “ADRs” – for
Why is triple check so important? As medical review may impact efficiency of current reimbursement, or sustenance of payment previously
Self-identification of errors in billing or documentation is a powerful tool toward minimizing medical review risk. Recognizing and correcting deficient
On 5/4/23, CMS alerted providers of a 5-claim PDPM probe review to be conducted by Medicare Administrative Contractors (MACs) for
Lack of substantiation of MDS Section GG is frequently a citation among medical review findings, especially from Managed Care audit
To many, the multiple contractor requests that comprise the world of medical review are simply summarized as “ADRs” – for
Why is triple check so important? As medical review may impact efficiency of current reimbursement, or sustenance of payment previously
