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 | Oct 10, 2018 | Blog, DRG Validation, HEDIS, Hospital Audits, Medicaid, Medical Records, RAC Audits, Revenue Cycle
Article Written 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...
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...
by Christopher Baggot | Sep 13, 2018 | Aetna, Audits, Blog, CCMA, Medicaid, RAC Audits
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 | Jan 7, 2015 | Blog, RAC Audits
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...
