Your Internet browser is outdated and cannot run this website. In order to view this site, and to protect your computer, please click to upgrade to a modern web browser of your choice:

Google Chrome or Mozilla Firefox

(Worry not– it's quick, safe and free, and you won't regret it!)

Share This:
     

Compliance with all the legal, regulatory, and program requirements relating to provider/supplier participation in the Medicare program is an ongoing challenge for health care providers and suppliers. Among the issues faced is keeping current in understanding and complying with program requirements and ensuring timely and complete Medicare payments for items and services furnished to program beneficiaries. Increasingly, provider and supplier claims are being denied or challenged by Medicare administrative contractors (MACs) or payment safeguard contractors, such as recovery audit contractors (RACs) and zone program integrity contractors (ZPICs). To respond appropriately, providers and suppliers need to understand and use the Medicare claims appeals process to challenge improper denials of Medicare payments.

Editor’s Note: Reprinted from the 2013 Health Care Compliance Professionals’ Manual, Chapter 12, with permission from CCH/Wolters Kluwer. © Wolters Kluwer Law and Business. All Rights Reserved.
Read Full Article As PDF ›
Share This: