by Christopher Baggot | Nov 9, 2018 | Audits, Blog, 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...
by Christopher Baggot | Oct 23, 2018 | Audits, Blog, Claims, HEDIS, Hospital Audits, Medicaid, Medical Records, RAC Audits, Revenue Cycle
As reimbursement rules catch up, providers embrace technologies for remote care and patient monitoring. Centralized care, with a hospital as the “hub,” is the standard in the U.S. today. But this familiar model is changing rapidly, as providers embrace remote care at...
by Christopher Baggot | Sep 25, 2018 | Audits, Blog, Claims, DRG Validation, Hospital Audits, RAC Audits, Revenue Cycle
Containing clinical costs in a safe manner in hospitals is crucial in the new value-based era of care. Reducing patient lengths of stay has been one of the main targets for clinical cost containment in hospitals. One-way hospitals can contain costs is by implementing...
