Once a clinic understands the costly impact of skipping the verification process, they need help in understanding how to do it properly. This tutorial provides tips and tricks to gathering the necessary data for efficient and complete benefit verification for work related injury cases.
Sample Recoupment Rebuttal Letter
Download Support Tool This letter can either be used as a template that you can customize and use as needed or that you can use as an example if you prefer to write your own rebuttal letters. It can be a great time saver and help you ensure that you include all of the pertinent…
Medicare Fraud and Abuse
Download Reference Document Because Medicare requirements are so stringent, pay close attention to the material in this document. The information is succinct yet provides a detailed overview of the available tools Medicare has at your disposal and lists a number of website links that you can access for additional information on this very important topic….
FAQ-Overpayment & Refunds
Overpayments & Refunds FAQs Q: How does CMS define an overpayment? A: A Medicare overpayment is a payment that exceeds regulation and statute properly payable amounts. When Medicare identifies an overpayment, the amount becomes a debt you owe the Federal government. Federal law requires the Centers for Medicare & Medicaid Services (CMS) to recover all…
Overpayment Resources
Download Reference Documents Overpayments are often simple mistakes that can be addressed and resolved pretty quickly. The big mistake many offices make is to ignore them or simply forget to take steps to resolve the issues. The following documents are great resources that can help you stay on top of these problem areas and keep…
Overpayments and Refunds
These tutorials can be instrumental in helping you avoid the pitfalls of overpayments, recoupments, and refunds. Being proactive in managing these things will help you stay compliant and ensure that your patients are charged appropriately. These things are a big deal because if you’re not attentive and knowledgeable about them you can quickly find yourself…