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Parkland hospital kept information from its auditors, feared federal subpoena on Medicare overcharges
Parkland Memorial Hospital once estimated it owed up to $50 million for overcharging Medicare and Medicaid. But it...
Device makers under scrutiny in international bribery beef
The U.S. government is investigating whether medical device and pharmaceutical companies are guilty of bribing foreign...
Diabetes drug maker hid test data on risks, files indicate
In the fall of 1999, the drug giant SmithKline Beecham secretly began a study to find out if its diabetes medicine...
RAC: The Problem with the Three-day Rule
The three-day rule is the subject of a provision in the American Jobs and Closing Tax Loopholes Act, a proposed...
Providers Leaning on Tracking Software as RACs Press On
With the growing number of CMS-approved RAC issues and the impending medical necessity audits on the horizon, the need...
CMS: Medical Necessity Reviews Are Coming, and Soon
There has been much speculation as to when providers would see the first wave of medical necessity reviews by Medicare...
White House Announces Plan to Crack Down on Medicare Fraud
President Obama announced a new effort to crack down on waste and fraud in Medicare and Medicaid and other programs...
Senate Reform Bill Would Expand RAC Program
The Senate health reform bill would broaden the current RAC program to cover Medicare Part C and D as well as the...
The RAC Reserve Debate
The question is whether hospitals should establish reserve funds as the government's Recovery Audit Contractor program...
Be Prepared for Recovery Audit Contractors
A three-year pilot program launched in 2006 helped CMS start taking a much closer look at Medicare claims, processes...
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...
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...
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...
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...
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...
Optimizing PEPPER in the Audit Environment
Our experts cover changes to PEPPER, as well as provide advanced techniques and strategies for incorporating the data...
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...
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...
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