“Defending Against Medicare and Medicaid Audits: A Guide for Healthcare Providers” by Knicole Emanuel

I attended the Noridian informational call on the Wasteful and Inappropriate Service Reduction (WISeR) model.

Medicare fee for service (FFS) does not pay for discarded amounts of “incident to supplies” (which is how all non-BLA CTPs/skin subs are now classified) and will only pay for the amount of product furnished.

Price controls are better for patients, Accountable Care Organizations, secondary insurers, tax payers, and the Medicare trust fund.