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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: Auditing Evaluation and Management Coding:
This easy-to-follow book and CD-ROM provides the expert advice and guidance you need to perform an E/M audit at your...
Audio Conference: How to Survive a Medicare Audit:
You can survive a Medicare audit with the first hand advice provided during the 90-minute audioconference. Our...
Book: The RAC Survival Guide:
The RAC Survival Guide is a comprehensive resource that will help you navigate the complex RAC process from beginning...
Book: Marketer's Guide to Community Benefit Reporting and IRS Form 990H
This book and CD-ROM shows healthcare marketers how to gather data effectively from every corner of their organizations...
Audio Conference: RAC Complex Coding and DRG Targets
Approximately 75% of all MS-DRGs have been identified by RACs as target areas. This 90-minute live audio conference...