Eliminating Denials Found in medical audit losses

Your Audit Losses – Step One Of all the sites I’ve ever consulted for there is always the same pattern and posture with auditing. Some are better than others but all have divided the audit losses into generally three categories. 1. Business Office Denials 2....

Your Audit Losses begin with Medical Record Requests

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...

Exciting News for CMAS Renewals!

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...
CMS Releases RAC Program Changes

CMS Releases RAC Program Changes

CMS recently published RAC changes as they prepare to have the RAC program get back into full swing. The final determination for the fifth RAC has been confirmed as Connolly. Here are some of the changes based on provider concerns: ADR limits will now be established...
Blood Draws from Central Lines

Blood Draws from Central Lines

When considering setting up your CDM and your electronic health record it is important to include in your lab results the location of your draw. Draws are commonly done by vein and that of course would be your default site but a draw done via a central line, a PICC...