Avoiding scrutiny under the new CMS audit process

Avoiding scrutiny under the new CMS audit process

Avoiding scrutiny under new CMS Audits: With CMS recently announcing the agency is directing its Medicare Administrative Contractors to focus...

Collection agency’s blunder leaves $565K in limbo

Collection agency’s blunder leaves $565K in limbo

A Midwestern pathology group we assist was recently being pushed by its third-party collection agency to pursue legal action for...

Is your outdated fee schedule leaving money on the table?

Is your outdated fee schedule leaving money on the table?

Problem: We recently conducted a billing audit for a hospital-based physician group that purchases the technical component from its hospital...

Case studies: Delayed Medicaid payments, unassigned codes and more

Case studies: Delayed Medicaid payments, unassigned codes and more

Here are some of the latest case studies from the team at Stark Medical Auditing  Case No. 1: Unassigned codes...