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 | Sep 13, 2018 | Aetna, Audits, CCMA, Medicaid, RAC Audits, Uncategorized
The Medical Audit Common Reviews and their Risk The Healthcare Industry (both Payers and Providers) has always had a measure of audits and their “ripple effect” carries down the line whether it be workload i.e. record retrieval, desk auditing, refund request, data...
by Christopher Baggot | Sep 1, 2015 | Aetna
Many of you are familiar with Aetna’s denial based on CMS rule 2202.6. Here”s a recent response Medlinks provided to one of our clients. ABC Hospital Health System bills according to CMS guidelines and rules with no delineation between payers, either government or...
