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Informed Administrators Are Key to a Successful Billing Staff
One of the biggest mistakes billing staff can make is to "rebill" a claim without taking the time to call the...
Bundled payments might cut hospital costs without reducing quality of care
In this article published online by the Washington Post, Manoj Jain, an infectious-disease specialist and an adjunct...
RAC Auditors Interested in Providers' Placement Orders
Admission orders are an important area of focus for auditors charged with the responsibility of recouping improper...
RAC Changes Could Leave Providers Susceptible
With Recovery Audit Contractor HealthDataInsights looking specifically at underpayments, providers should be aware of...
Can bundled payments help slash health costs?
Combined, "bundled" payments are getting close attention during the healthcare debate as a way to encourage hospitals...
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...
First Approved Issues for RAC Review in Region B Posted
Region B, get ready. RACs may begin auditing at any time in several Region B states.
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: The RAC Survival Guide:
The RAC Survival Guide is a comprehensive resource that will help you navigate the complex RAC process from beginning...
Book: The New Era of Healthcare: Practical Strategies for Providers and Payers
This book focuses on methods to forge a partnership between healthcare providers and managed care payers. It contains...
Book: The How-To Manual for Rehab Documentation, Third Edition
Since our last edition, there have been significant changes to the rules and regulations surrounding documentation in...
Book: The Medicare Part B Billing Manual for Long-Term Care
This 150-page book breaks down Part B billing into separate revenue streams and includes examples of how to fill out...
Book: Healthcare Price, Cost & Utilization Benchmarks, Volume VI
Whether you are a healthcare provider or a managed care organization, up-to-date benchmarks are critical to successful...
Audio Conference: Medicare Billing Under RUG-IV
Audio Conference: Consolidated billing: Solutions you need for reimbursement success
Audio Conference: Strategies for SNF Beneficiary Notification Success:
Beneficiary notifications are an ongoing challenge for SNFs, mainly due to the confusing requirements for the...
Audio Conference: Master Outpatient Therapy Evaluations
This 90-minute program provides guidance to help therapists improve their chances of Medicare approval through...
Audio Conference: 2010 Coding Update for Long-Term Care