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Should Feds Remove Small Practices from Red Flags Compliance?
An author on Red Flags Rule compliance says that eliminating small practices from complying with the FTC's identity...
RAC Provisions Putting CMS, Providers at Odds
In response to feedback from the RACs, providers, suppliers, and their associations, CMS recently expanded its fiscal...
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...
Five Steps to Appeal RAC Denials Successfully
Appealing RAC denials is certainly a complex process, but providers can take certain steps to increase their success...
RAC Begins Complex DRG Validation Audits
Connolly Healthcare has announced the first issues approved for complex RAC review, so providers in several RAC Region...
RAC Preparations Well Under Way Despite Budget Issues
Budgets are tight, but it seems that many healthcare providers are aware that setting aside resources to prepare for...
RAC vs. CERT Audits: Do You Know the Difference?
The Comprehensive Error Rate Testing Hospital Payment Monitoring Program is one of the ways CMS is trying to improve...
Could RAC Mass Adjustment Changes Mean More Automatic Audits?
Providers who believe their RAC denials will be limited to 200 every 45 days (corresponding with the medical record...
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...
CMS Updates RAC Audit Timeline: Complex Reviews Still Months Away
CMS anticipates Recovery Audit Contractor automated reviews will begin in late June and July and certain types of...

Book: The HIM Director's Handbook, Second Ed.
This second edition is an updated version of the earlier best seller and details everything you need to know to direct...
Audio Conference: Physician Supervision for Hospital Outpatient services
During this 90-minute intermediate-level audio conference, our speakers will explain the requirements and walk through...
Audio Conference: Manage Revenue Integrity and Audit Activity
During this 90-minue audio conference, our speakers will explain how to work across departments and build a strong...
Audio Conference: PEPPER for Critical Access Hospitals: Identify Your Audit Risk
During this 90-mintue audio conference, our speakers will explain PEPPER and tell you how to use your report to...
Audio Conference: 2012 IPPS Final Rule Explained
This 90-minute audio conference is your life line. Our experts comb the rule and pull out the information you need to...
Audio Conference: Physician Supervision in Hospital Outpatient Departments
Physician supervision in the outpatient setting is always difficult to get your hands around . You need to understand...
Webcast: PEPPER Report 2012: Improve your organization’s Medicare claims profile
During this 90-minute webcast, our experts will show you how to simplify the 2012 PEPPER report, use its data to...
Audio Conference: 2013 IPPS Final Rule Highlights and New Initiatives
This 90-minute audio conference is your life line. Our experts comb the rule and pull out the information you need to...
Audio Conference: Physician Supervision: Meet requirements in hospital outpatient departments
During this 90-minute audio conference, Kimberly Anderwood Hoy, JD, CPC will review requirements for supervision and...
Audio Conference: Optimizing PEPPER in the Audit Environment
Our experts cover changes to PEPPER, as well as provide advanced techniques and strategies for incorporating the data...