by Caroline Fife, M.D. | Dec 9, 2024 | Fight the Good Fight, Medicare Audits
Attorney Knicole Emanuel has published another fascinating blog! Check out her discussion about the Recovery Audit Contractor (RAC) and the False Claims Act (FCA). Many practitioners are undergoing the full alphabet soup of Medicare audits (TPE, UPIC, SMERC, RAC,...
by Caroline Fife, M.D. | Sep 9, 2024 | Healthcare Payment Policy, Medicare Audits
I have been posting warnings about the increase in Medicare audits, especially for CTPs/skin subs and hyperbaric oxygen therapy for many years. Because everyone was being audited, I KNEW that my hospital-based outpatient department (HOPD) was going to be audited. The...
by Caroline Fife, M.D. | Dec 8, 2023 | Fight the Good Fight, Medicare Audits
This is part of my series of articles about Useful Information on Medicare Audits. Here are the “reasons for denial” codes for hyperbaric oxygen therapy posted on the Palmetto website. Although they are posted on the Palmetto website, these come from CMS and thus are...
by Caroline Fife, M.D. | Dec 5, 2023 | Fight the Good Fight, Hyperbaric Oxygen Therapy, Medicare Audits
This is part of my series of articles about Useful Information on Medicare Audits. Noridian is the MAC for Medicare A/B of: Region E: California, Hawaii, Nevada, American Samoa, Guam, Northern Mariana Islands Region F: Alaska, Arizona, Idaho, Montana, North Dakota,...
by Caroline Fife, M.D. | Nov 27, 2023 | Featured, Medicare Audits
I am posting a series of articles with information directly from the websites of the various MACs. Anyone can access this information so I feel a little silly posting it, but several clinicians have told me about audits they are undergoing and they had not paid...
by Caroline Fife, M.D. | Nov 21, 2023 | Fight the Good Fight, Medicare Audits
This is part of my series of articles about Useful Information on Medicare Audits. Palmetto is the MAC for: Region J: Alabama, Georgia, Tennessee (Region J) Region M: North Carolina, South Carolina, Virginia, West Virginia (excludes Part B for the counties of...
by Caroline Fife, M.D. | Nov 20, 2023 | Fight the Good Fight, Medicare Audits
This is part of my series of articles about Useful Information on Medicare Audits. Palmetto is the MAC for: Region J: Alabama, Georgia, Tennessee (Region J) Region M: North Carolina, South Carolina, Virginia, West Virginia (excludes Part B for the counties of...
by Caroline Fife, M.D. | Nov 20, 2023 | Fight the Good Fight, Hyperbaric Oxygen Therapy, Medicare Audits
I am posting a series of articles with information directly from the websites of the various MACs. Anyone can access this and I feel a little silly posting it, but several clinicians have told me about audits they are undergoing and they had not paid attention either...
by Caroline Fife, M.D. | Nov 9, 2023 | Fight the Good Fight, Hyperbaric Oxygen Therapy, Medicare Audits
This is part of my series of articles about Useful Information on Medicare Audits. I am posting a series of blogs with information directly from the websites of the various MACs. Anyone can access this and I feel a little silly posting it, but several clinicians have...
by Caroline Fife, M.D. | Nov 7, 2023 | Healthcare Payment Policy, Hyperbaric Oxygen Therapy, Medicare Audits
I have been posting information from the MAC websites about audits and required documentation, particularly for HBOT. The Palmetto MAC website has detailed information about certain specific HBOT indications if you sufficiently medicated to manage the intense...
