BC Advantage - 2013 Issue 7

Conducting Successful Appeals: Six Steps to Success

The Centers for Medicare and Medicaid Services in cooperation with the DOJ and OIG have made reducing the amount of wasteful spending a number one priority. Through the Program Safeguard Contractors, RACs, ZPICs, MICS, and other government contractors, audits and investigations are at an all time high. What can you do to Cover Your Assets? How does a compliance program play into minimizing exposure and what steps should be taken when "The Letter" arrives? There is a difference between Fraud and Abuse. Medicare Fraud: The word "misrepresentation" defines Medicare fraud in terms of how a fraudulent practice is carried...

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