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...
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...
Good information I thought I’d share. Thanks Evan Godt. Evan Godt, Jan 14, 2015 The HHS Office of Inspector General’s (OIG) Fiscal Year 2015 Work Plan includes three ongoing imaging-related projects, according to the American College of Radiology (ACR). OIG’s annual...
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...
