Sarasota, FL (WorkersCompensation.com) – Earlier this month, the Centers for Medicare & Medicaid Services (CMS) released their findings of Fee-for-Service claims audits conducted this year.  Last year, CMS estimated that the rate of improper payments […]

Sarasota, FL (WorkersCompensation.com) – Despite strong complaints from the American Medical Association (AMA) about a 26 percent decrease in physician reimbursement from 2001 to 2023, it appears those complaints have fallen on deaf ears.  On […]

Sarasota, FL (WorkersCompensation.com) – A National Provider Identification Number (NPI) is a 10-digit identification number that is issued by CMS Medicare to healthcare providers and is unique to them. NPI numbers are issued as individual […]

Sarasota, FL (WorkersCompensation.com) – Last week, the U.S. Department of Justice announced charges in a historical case that they are calling, “the largest health care fraud schemes ever prosecuted by the Justice Department.” In a […]

Sarasota, FL (WorkersCompensation.com) – Let’s face it, medical billing is complicated! The regulations and payer rules change on a daily basis, and the volume of information reviewed and regulated is astounding, with incorrect claims easily […]

Sarasota, FL (WorkersCompensation.com) – In 2018, the Centers for Medicare & Medicaid Services (CMS) removed Total Knee Arthroplasty (TKA) procedures, also known as total knee replacement, from the Inpatient Only List, allowing the procedures to […]

Sarasota, FL (WorkersCompensation.com) – According to the U.S. Department of Health and Human Services breach portal, there have already been 26 reports of healthcare data breaches reported so far this month. Of those, 18 cases […]

The Centers for Medicare and Medicaid Services (CMS) announced the expansion of its Amended Review policy to significantly more MSAs in the latest update to its WCMSA Reference Guide, Version 3.9. The Amended Review process was […]