Review of Medicare Fee-for-Service Payments Made by TrailBlazer Health Enterprises, LLC, for Medicare Advantage Enrollees During Calendar Years 2007 and 2008 (A-07-11-05013)

Medicare fee-for-service payments made by TrailBlazer Health Enterprises, LLC (TrailBlazer), a Centers for Medicare & Medicaid Services contractor, to hospitals for inpatient services furnished to Medicare Advantage enrollees did not always comply with Federal regulations. TrailBlazer made $472,000 in unallowable payments to hospitals for inpatient claims for beneficiaries who were enrolled in Medicare Advantage plans.

Dallas L Alford IV, CPA is a licensed Certified Public Accountant in the state of North Carolina and owner of Atlantic Financial Consulting, a consulting firm that provides comprehensive medical billing services, practice management consulting, coding audits, Medicare compliance, Medicare RAC support and other general medical practice consulting services.

To learn more about Atlantic Financial Consulting you may visit their website at

http://atlanticfinancial.us  or contact Dallas L Alford IV, CPA directly at 1 888-428-2555, Ext. 200.