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CMS Budget Justification Requests Increased Audit and Appeals Funding

The Centers for Medicare & Medicaid Services' (CMS) FY 2022 Budget Justification request to Congress suggests an increased focus on Medicare claim reviews and an effort to decrease the number of claim denials overturned...more

Medicare Target, Probe and Education Audits Require Immediate and Full Attention from Providers/Suppliers

While many Medicare providers and suppliers may not yet have experienced a Targeted Probe and Education (TPE) audit, they should be on the lookout for this newest weapon in the medical review arsenal. It is important that...more

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