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Providers challenging audit claim denials through the Medicare appeals process can expect to encounter various degrees of contractor involvement at each stage of appeal. Providers should be aware of the contractor’s role at each stage of appeal, the information requests to make at each level, and the limits on the scope of the contractor’s participation.

(Physician Practice Magazine) March 2014 – Podiatric surgeon Tom Del Zotto carries a heavy burden on his shoulders and it’s a burden that he just can’t seem to shake. “What never leaves, whether I’m in the office or not, is the heightened state of awareness that there’s a possibility of being on the receiving end of litigation,” says Del Zotto, whose two-physician practice is based in Folsom, Calif. “The reality of private practice is, you can function completely within the standard of care and you can still be on the receiving end of litigation.”…

(Physicians Practice) SALT LAKE CITY (December 29, 2013) – At the beginning of each year brokers and physicians inquire about which factors will most influence malpractice insurance in the coming months. As the first full year that providers will operate with meaningful use and the Affordable Care Act, 2014 promises big changes in the healthcare world…