Jenna Godlewski

Maynard Nexsen

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Latest Posts › Medicare Administrative Contractors (MAC)

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Billing Medicare or Medicaid? Understanding Your Audit Risk

If you are a healthcare provider enrolled with Medicare and Medicaid, it is imperative that you know the governmental agencies’ expectations for compliant billing and understand that the agencies constantly monitor and audit...more

7/12/2023 / Centers for Medicare & Medicaid Services (CMS) , Medicaid , Medicare , Medicare Administrative Contractors (MAC) , OIG , Recovery Audit Contractors (RACs) , Skilled Nursing Facility , SMRC

TPE Audits Are Back: What Providers Need to Know

The Centers for Medicare and Medicaid Services (CMS) announced that Targeted Probe and Educate (TPE) audits would resume on September 1, 2021. TPE audits had been suspended by CMS during the public health emergency. Unlike...more

9/7/2021 / Audits , Centers for Medicare & Medicaid Services (CMS) , Health Care Providers , Medicare Administrative Contractors (MAC)

Proactive Coding Compliance: The Best Way to Avoid the CMS Administrative Appeal Process

As an attorney specializing in healthcare reimbursement, I have focused my practice on helping healthcare providers navigate the Center for Medicare and Medicaid (“CMS”) administrative appeal process. I usually get a call...more

9/14/2020 / Administrative Appeals , Administrative Law Judge (ALJ) , Centers for Medicare & Medicaid Services (CMS) , Health Care Providers , Medicare , Medicare Administrative Contractors (MAC)

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