By: Matt Fischer Litigation involving out of network claims by providers, also referred to as “non-participating” ..
By: Karina Gonzalez When providers or suppliers self-report overpayments to Medicare Part C Managed Care ..
By: Michael Silverman There are perfectly compliant ways to engage with healthcare marketers, and then ..
By: Matt Fischer Fighting a large extrapolated overpayment demand from a Medicare Administrative Contractor ..
By: Jacqueline Bain The transition from paper medical records to electronic medical records has brought ..
By: Susan St. John As noted in Opting Out of Medicare Part I, opting out of Medicare may be an option ..
By: Matthew Fischer In CMS’ latest “MLN Connects” newsletter, the agency discusses the Comprehensive ..
By: Susan St. John Physicians and practitioners are ordinarily required to submit claims on behalf of Medicare ..
By: Matt Fischer A recent lawsuit seeking class action status that targeted Zone Program Integrity Contractor ..
By: Michael Silverman Pharmacy Benefit Managers (“PBMs”) act as the intermediary between insurance ..