Medicare payment error may mean money owed to your physician practice

Why This Topic Matters

Medicare payment discrepancies can affect practice revenue over multiple years, and identifying them early may help organizations determine whether corrective action or appeal review is needed.

Article Sections

1. Recovery auditor underpayment issue

   The article introduces a Medicare underpayment issue identified through recovery audit activity and notes the administrative entities involved in correcting affected claims.

2. How to track fee schedules

   This section describes general ways practices can compare Medicare payment data with fee schedule information and use available tools to review claims history.

3. Lesson learned by hospitals

   The article discusses a court case referenced as an example of the importance of reviewing payment calculations and the consequences of delayed action.