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 15, 2018 | Revenue Cycle
This article originally appeared in The Report on Medicare Compliance Volume 24, Number 36 Dated: October 12, 2015 Money may be slipping through hospital hands when commercial payers adjust payments for certain room and board charges, consultants say. Payers are...
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 | 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...
