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Improving the Health of Your Practice

Revenue Management

Aultman MSO offers comprehensive accounts receivable management services, along with reporting capabilities.

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Information Systems

Aultman MSO provides local information systems support to all clients with one number to call for any system-related problems.

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Consulting & Education

Aultman MSO is committed to providing a variety of education opportunities for providers and their staff.

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Coding & Compliance

With the implementation of ICD-10-CM, Aultman MSO is here to help with the transition.

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Credentialing

Let the Aultman MSO credentialing specialists provide credentialing services for you and help to ease the enrollment process.

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Information Systems

Aultman MSO provides local information systems support to all clients with one number to call for any system-related problems.

Learn More

Consulting & Education

Aultman MSO is committed to providing a variety of education opportunities for providers and their staff.

Learn More

Coding & Compliance

Aultman MSO has a staff of certified coders here to answer your questions, along with an offering of ICD-10-CM educational classes for your office.

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Credentialing

Aultman MSO is here to assist providers with the preparation and maintenance of initial insurance credentialing paperwork.

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Medicare 60-Day Repayment Rule

On February 12, 2016 the Centers for Medicare and Medicaid Services (CMS) published a final regulation regarding the 60 day repayment rule.

Final Rule highlights:

  • An overpayment is any Medicare payment received or retained by the group to which it is not entitled. An erroneous payment by the Medicare contractor, through no fault of the provider, is still an overpayment.
  • After the provider has identified and quantified the amount of the overpayment then the 60 day repayment clock will start running, as long as the provider exercises reasonable diligence in doing both.
  • Reasonable diligence includes both proactive compliance activities designed to detect overpayments and reactive investigations designed to quantify overpayments in response to credible information.
  • Investigation and repayment should be completed within eight months—six months to investigate and quantify, and 60 days to refund and report.
  • Failure to exercise reasonable diligence causes the 60 day repayment clock to revert back to the date the provider received credible information.
  • The obligation to refund can go back to six years.

 

Information obtained from: http://www.mgma.com/Libraries/Site-Images/Government%20Affairs/2015/Sub%20landing%20features/CMS-Repayment-Rule-PPSV-memo(D0650368).pdf?ext=.pdf

 

Updates

Medicare 60-Day Repayment Rule

02-25-16

On February 12, 2016 the Centers for Medicare and Medicaid Services (CMS) published a final regulation regarding the 60 day repayment rule.

EFFECTIVE JAN. 1, 2016: MEDICARE ADVANCE CARE PLANNING SERVICES

12-03-15

Beginning on Januray 1st, 2016 physicians and other practitioners will be able to bill out two separate CPT codes for advance care planning (ACP).

View All Updates »