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 | 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...
by Christopher Baggot | Oct 10, 2018 | DRG Validation, HEDIS, Hospital Audits, Medicaid, Medical Records, RAC Audits, Revenue Cycle
By Susannah Luthi | October 10, 2018 Senate Democrats on Wednesday failed in an attempt to overturn the Trump administration’s expansion of so-called short-term, limited-duration plans, although they gained a Republican ally. Sen. Susan Collins (R-Maine) broke...
by Christopher Baggot | Sep 25, 2018 | Audits, 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...
