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What is Medicare, Medicaid, etc?

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In addition to accepting private insurance from your patients, your practice may also want to accept government-sponsored medical insurance such as Medicare and Medicaid. The two programs cover very different populations, so it’s important to understand the differences between them. Medicare offers medical insurance coverage to individuals age 65 and older as well as individuals […]

Medicare And Medicaid Audits

Medicare And Medicaid Audits

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If your medical practice accepts Medicare and Medicaid, you may be at risk for an audit. As instances of medical fraud have risen, the government has developed 7 different types of audits to prevent overpayments, underpayments, waste and abuse in the healthcare system. Appealing a decision made as the result of an audit can be […]

What is Fraud Investigation?

Doctor Credentialing With Hospitals And Insurance Companies

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When Hospitals And Insurance Companies Want To Work With A Physician, They Must Engage In A Process Known As Doctor Credentialing. Doctor Credentialing Helps Hospitals And Insurance Companies Choose The Best Doctors With Whom They’d Like To Work. During The Credentialing Process, Experienced Investigators Dig Deep Into The Physician’s History, Acting As Medical Detectives. Hospitals […]

The Mystery Of Doctor Credentialing