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 | Oct 23, 2018 | Audits, 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 | 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 | Oct 1, 2018 | HEDIS, Medical Records
Here are some essential components of a HEDIS improvement that will efficiently and effectively move your numbers: 1. Powerful Analytics – Identifying and stratifying members with gaps in health care is the first step in maximizing scores. Models that predict how...
