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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...
Red Flags Rule Enforcement Delayed to June 1
The Federal Trade Commission is delaying enforcement of its identity theft Red Flags Rule for a fourth time, pushing...
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: 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...