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Claim Probe News Today : Breaking News, Live Updates & Top Stories | Vimarsana

CMS 5-claim audits so far a debacle - McKnight s Long-Term Care News

A new federal review process designed to lessen improper government payments is sending provider staffs scurrying to justify their coding.

United statesJessie mcgillEleisha wilkesHuman servicesUs department of healthMedicare medicaid servicesPatient healthResource utilization groupCurriculum development specialistLong term care newsSkilled nursing facilityClaim probeMedicaid servicesMedicare partMedicare administrative contractorsAmerican association

Ask the payment expert about insufficient documentation

Insufficient Documentation is the top SNF error leading to improper payment. What does this mean?

Case mix groupInsufficient documentationClaim probeMedicare administrative contractor

CMS Announces New SNF 5-Claim Probe & Educate Review | Maynard Nexsen

On June 8, 2023, the Centers for Medicare & Medicaid Services (CMS) announced a new nationwide audit of all skilled nursing facilities (SNF) and Hospital swing bed providers that submit.

Maynard nexsenResource utilization groupCenters for medicare medicaid servicesMedicaid servicesClaim probeMedicare administrative contractorComprehensive error rate testingPayment driven modelEducate reviewTargeted probeMedicare fee for servicePatient driven payment model

Ready, set, review!

We’ve all been waiting for this. We knew it was coming! What am I speaking of? The May 4, 2023, notice of Skilled Nursing Facility (SNF) 5-Claim Probe and

Susan shumanHeather wethersonResource utilization groupSkilled nursing facilityClaim probeEducate reviewChange requestComprehensive error rate testingMedicare fee for serviceImplementation contactContracting officer

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