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5 Hospital Finance Questions to Ask Right Now
Late December is the time of year when we look at ahead with anticipation at what the future holds. With only days...
Web Exclusive: AMA: Swift Congressional Action on SGR 'Critical'
The American Medical Association is urging lawmakers to vote before the Thanksgiving break for a 1% physician pay...
RAC Auditors Interested in Providers' Placement Orders
Admission orders are an important area of focus for auditors charged with the responsibility of recouping improper...
RAC Provisions Putting CMS, Providers at Odds
In response to feedback from the RACs, providers, suppliers, and their associations, CMS recently expanded its fiscal...
Magazine: Does Guaranteed Payment Guarantee Benefit?
A new payment model could mean lower costs and higher quality.
Four Ways to Untangle RAC's Medically Unlikely Edits
Connolly Healthcare and CGI recently added Medically Unlikely Edits for outpatient hospital claims to its CMS-approved...
RAC Changes Could Leave Providers Susceptible
With Recovery Audit Contractor HealthDataInsights looking specifically at underpayments, providers should be aware of...
RAC Begins Complex DRG Validation Audits
Connolly Healthcare has announced the first issues approved for complex RAC review, so providers in several RAC Region...
House Passes Red Flag Exemption for Small Practices
The House of Representatives unanimously passed a bill Tuesday, October 22, that would exempt a healthcare practice...
RAC Audits Under Way, But Hospital Continues to Improve Processes
St. Joseph Medical Center in Houston has been preparing for RACs for months now. But even though the work began long...

Audio Conference: Combat RAC Denials: Strategies for Successful Appeals
During this 90-minute audio conference, our speakers provide step-by-step procedures, timelines, tools, and best...
Audio Conference: Proactively Defend Against Recovery Auditor Prepayment Reviews
Recovery Auditor prepayment reviews are the latest wrinkle to be thrown at providers. This audio conference will help...
Continuing Education: Level of Care Determinations for 2014: Las Vegas, NV
Attend the half-day seminar, Outpatient, Observation or Inpatient? Continuing to Walk the Tightrope of Regulatory...
Continuing Education: OPPS and IPPS Reimbursement Fundamentals: Las Vegas, NV
Attend OPPS and IPPS Reimbursement Fundamentals, a half-day seminar on October 2nd in Las Vegas. Learn how CMS...
Webcast: Value-Based Purchasing and Documentation Improvement
If your CDI program has not incorporated value-based purchasing (VBP) measures into its review efforts, now is the time...
Audio Conference: 2014 IPPS Final Rule Explained
The sheer volume of new payment and quality information, along with new patient status proposals that will be in the...
Audio Conference: Recovery Auditor Update: Changes to the Appeals Process and Payment Reviews
In this 90-minute audio conference, experts Debbie Mackaman, RHIA, CHCO, and Ralph Wuebker, MD, MBA, provide an...