by Christopher Baggot | Jul 9, 2019 | Aetna, Audits, CCMA, Claims, DRG Validation, Healthcare, HEDIS, Hospital Audits, Medicaid, Medical Records, RAC Audits, Revenue Cycle
Passive, Proactive, and Retrospective Cost Containment in Medical AuditingA case study analysis of services supplied to our hospital/provider clientsBy Christopher Baggott, CEO Medlinks Cost Containment, Inc. The great boxer Jack Dempsey said, “The best defense is a...
by Christopher Baggot | Jun 26, 2019 | Audits, HEDIS, Hospital Audits, RAC Audits
Passive Cost Containment Stopping Medical Audit Loss Before It Begins By Christopher Baggott, CEO Medlinks Cost Containment, Inc. “Passive Cost Containment” refers to the process of records request reviews. In order to reduce audit loss, the provider must...
by Christopher Baggot | Nov 15, 2018 | Revenue Cycle
This article originally appeared in The Report on Medicare Compliance Volume 24, Number 36 Dated: October 12, 2015 Money may be slipping through hospital hands when commercial payers adjust payments for certain room and board charges, consultants say. Payers are...
by Christopher Baggot | Nov 12, 2018 | Healthcare
Geisinger Health System CEO and President Dr. David Feinberg is moving to Google, where he’ll take a healthcare leadership position. Dr. Jaewon Ryu will take over as interim president and CEO of Geisinger on Dec. 1. Google’s healthcare efforts are...
by Christopher Baggot | Nov 9, 2018 | Audits, Claims, DRG Validation, Hospital Audits
Defense for Claim Sweeping of “Routine” Supplies Recently a hospital client asked us to review claims where the supply items had been removed from the claim. In response to the request, we found the health plan had “swept” a few particular revenue centers, claiming...
