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Clearing the Confusion Around the Three-Day Rule
The three-day payment window rule has remained unchanged since its implementation in 1998, yet much confusion still...
RAC Changes Could Leave Providers Susceptible
With Recovery Audit Contractor HealthDataInsights looking specifically at underpayments, providers should be aware of...
Providers Receive First RAC Medical Record Documentation Requests
Requests for medical records are already arriving in hospital mailboxes following the approval of the first set of...
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...
Providers Report First RAC Denials in Florida, South Carolina
Healthcare providers in several states received their first RAC denials. Connolly Healthcare, the Region C RAC for...
Small Healthcare Entities Need Red Flags The Most
Small healthcare entities are more likely to have cases of identity theft. So why exclude them from complying with a...
Providers Seek Information on Medicaid Integrity Contractors
At this point, thanks to a three-year demonstration project and a plethora of available information available for...
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...
RAC-Approved Screening Criteria: Myth or Reality?
Will using InterQual, Milliman, MCAP or other screening criteria help keep RACs off your back? Perhaps, but these...
10 Lessons From the RAC Demonstration Program
The Medicare Recovery Audit Contractor demonstration project has come and gone, but many providers learned valuable...

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...
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: 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: 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...
Audio Conference: Auditing Documentation for ICD-10:
Audio conference shows you what you need to do now to review your current ICD-9 documentation in preparation for...
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...