Be Prepared for a Private Payer Audit

Be Prepared for a Private Payer Audit

Private payers often send notices to physician practices claiming that they have made an overpayment, and that physicians should remit the amount due to them within a certain deadline. Payers may carry out audits and send repayment requests when they think they have...
What is HEDIS Coding?

What is HEDIS Coding?

The Healthcare Effectiveness Data and Information Set (HEDIS) is set of norms employed by most of the healthcare plans in the US for measuring performance in relation to service and care. HEDIS was created by the NCQA (National Committee for Quality Assurance) and is...