by Christopher Baggot | Feb 25, 2015 | Audits
Great article I thought I’d share by Brad Flansbaum IF CONGRESS PLANS ON FIXING THE RACS IN 2015, THEY NEED TO READ THIS FIRST! • February 24, 2015 • Brad Flansbaum The recent increase in observation stays has led to a surge in federal oversight and scrutiny. We have...
by Christopher Baggot | Feb 21, 2015 | Audits
In the world of being an expert it can take careful observation as to what is occurring in your area of expertise. This has become especially true in the world of auditing. It is true in the realm of RAC as CMS offers loads of grey areas, and an ever moving target of...
by Christopher Baggot | Feb 18, 2015 | CCMA
Effective December 4, 2014, membership in AAMAS is no longer a CMAS requirement. The Council recognizes the many relevant organizations that work with our core mission. Therefore, membership to a revenue integrity organization or quality management organization is now...
by Christopher Baggot | Feb 4, 2015 | Audits
As health plans attempt to measure the acuity of new patients through the Affordable Care Act’s healthcare marketplace exchange, hospital audit teams will see a huge influx of commercial risk adjustment audits and associated medical record requests. And the deluge is...