Chapter 8 changes appear to be less fair than ever before. “Life Isn’t Fair, but Government Must Be”— Former Texas Governor Ann Richards, 1991 Everyone has a plan until they get punched in the mouth, according to Mike Tyson, retired boxer and armchair philosopher. And it appears that the Centers…
The PIM is a woefully inadequate guide for audits leveraging extrapolation. EDITOR’S NOTE: This is the fourth in a series of reports on alleged bias the author has uncovered in extrapolation audits. This is part four of a three-part series expressing my disappointment in chapter 8 of the Medicare Program…
The PIM is a woefully inadequate guide for audits leveraging extrapolation. EDITOR’S NOTE: This is the third in a series of reports on alleged bias the author has uncovered in extrapolation audits. In my last two articles, I addressed several of the reasons I feel Chapter 8 of the Program…
The most recent case involved a Zone Program Integrity Contractor (ZPIC), which turned a $4,000 overpayment into a $3 million overpayment using extrapolation. EDITOR’S NOTE: This is the second in a series of reports on alleged bias the author has uncovered in extrapolation audits. I recently wrote an article opining…