News & Analysis

April 1, 2019
Medicare Web

Q: What are the recommended elements of a Medicare appeals program?

March 18, 2019
Medicare Web

Q: What statistics are recommended to include in denial summary reports?

March 11, 2019
Medicare Web

Q: What's the process for a fourth level Medicare appeal?

February 27, 2019
Medicare Web

Community Hospital in Munster, Indiana, is disputing an Office of Inspector General (OIG) report that found DRG assignment errors and incorrect inpatient rehabilitation facility (IRF) claims, resulting in an projected $22,051,602 in overpayments.

February 25, 2019
Medicare Web

Q: Can we correct and resubmit a claim denied before payment as we do claims that are sent back with a pre-payment rejection?

February 18, 2019
Medicare Web

Q: How do we determine financial responsibility for denied managed care services?