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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...
Financial Outlook for California Hospitals Improves, Despite Plummeting Investment Income
The latest financial charts from California hint that hospitals in the Golden State might be starting to emerge from...
AHA RAC Program Update Answers Provider Questions
Unless your hospital is so very unlucky to have been selected as one of the first for an audit, chances are you still...

Newsletter: Managed Care Contracting and Reimbursement Advisor
Managed Care Contracting & Reimbursement Advisor tells you exactly what you must know and do to successfully negotiate...
Book: Managed Care Contracting Survival Guide for Healthcare Providers:
The Managed Care Contracting Survival Guide is a must-have resource for managed care directors and their staff. It...
Book: Beyond the Contract:
This hands-on survival guide will help you prepare for negotiating sessions by delivering techniques and strategies you...
Book: The New Era of Healthcare: Practical Strategies for Providers and Payers
This book focuses on methods to forge a partnership between healthcare providers and managed care payers. It contains...
Book: Core Skills for Hospital Case Managers:
A guide to fundamental case management responsibilities, Core Skills for Hospital Case Managers serves as a training...
Video: Managing Length of Stay
This video with CD-ROM uses "right way" and "wrong way" scenarios to deliver helpful, practical...
Book: The Physician Queries Handbook:
The Physician Queries Handbook provides practical, tips and best practices for querying physicians on a concurrent or...