Amanda Waesch
Esq.

Your practice is required to conduct internal audits to comply with CMS’ Fraud, Waste, and Abuse regulations. The problem is that self-auditing your billing, coding, and compliance processes can be time-consuming and overwhelming. But it doesn’t have to be. Whether this is your first time conducting an internal audit for your practice, or you have an audit program in place […]

A shocking 80% of claims contain medical billing compliance errors. This proves that complying with CMS medical billing compliance requirements isn’t easy. Even a minor medical billing compliance issue can bring auditors to your door. And once they start digging, the result can be expensive penalties – they can even lead to CMS withdrawing your billing privileges permanently. Medical Billing […]

You are mandated to provide annual Fraud, Waste, and Abuse training for your practice staff. Fail to comply and you’ll lose your ability to bill Medicare and other third-party payers (meaning no revenue), auditors will start poking around for violations, and you can even be required to pay hefty penalties. Although complying with these training requirements may seem challenging – […]

Your patient credit balances are putting your practice at risk for repayment demands, corrective action plans, and expanded scope audits. Federal law has long required your practice to have a formally documented process to track patient overpayments and refund timelines. And now, a new Florida patient overpayment law has put this little-known federal requirement into the spotlight for auditors and […]