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CMS Seeks to End Remittance Advice Confusion
In a recently released transmittal, CMS has addressed an issue that has been a thorn in the side for providers since...
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...
Not Just RACs: Providers Must Prepare for MICs Too
Providers nationwide are certainly familiar with Recovery Audit Contractors, or RACs. But perhaps less familiar are...
Breach Prevention is Critical as HIPAA Compliance Worlds Collide
Privacy and security officers have to comply with more rules than ever. The Federal Trade Commission's Red Flags rule...
RAC Provisions Putting CMS, Providers at Odds
In response to feedback from the RACs, providers, suppliers, and their associations, CMS recently expanded its fiscal...
New Issues Highlight Need for RAC Strategy
Last December, the first sets of complex RAC review issues were released. Since then, the list has grown, as each RAC...
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...
Fair value: Eyes wide open
Fair-value accounting rules are coming more into focus this year, and the Financial Accounting Standards Board has...
RAC Targets Skilled Nursing Facilities' Consolidated Billing
Skilled nursing facilities in the Recovery Audit Contractor program's Region D should pay extra attention to...
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...

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...