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DocuComp® LLC realizes that a “one size fits all” approach to education simply does not work for all learners. By offering a more customized, …

Advance planning can ease the pain of an audit

Larry Hegland, MD, is less than impressed with the data that the U.S. government provides to hospitals preparing for audits, like those tied to …

American College of Physician Advisors Inc.

News & Updates<p>CMSA and ACPA Announce Collaboration<p>The American College of Physician Advisors and the Case Management Society of America are pleased …

Everyone's a Critic – Except When it Comes to Themselves

One of the objectives of the Centers for Medicare & Medicaid Services (CMS) is to move away from fee-for-service healthcare and toward …

Return of the RACs

The song “Return of the Mack” by Mark Morrison has played randomly in my head since earlier this year, when the Centers for Medicare & Medicaid …

How Would the President’s Budget Proposal Reduce the Medicare Appeals Backlog?

The president's fiscal year 2016 budget request seeks a more than a three-fold increase in funding to help address a backlog of Medicare appeals. …

AHA RAC Reform Proposal Sparks Concern

With the clock ticking down on the Recovery Auditor Contractors’ (RACs’) prohibition from conducting post-payment patient status reviews with dates …

MACs Heading Down Slippery Slope from Medical Necessity to Quality of Care

“Don’t confuse me with the facts; my mind is already made up.” This is how William Malm, the senior manager at Craneware, describes the two recent …

RAC groups battle provider plea for short-stay payment relief

February 19, 2015<p>Share this content:<p>Safety commission weighs petitions for total bed-rail ban, seeks input<p>Third-party firms that audit Medicare bills …

To Cut Spending Waste, Congress Should Restore Medicare RAC Programs

If a corporation discovered it had made thousands of dollars in improper payments, it would, not doubt, undertake every step to stop the wasted money and collect the improper payments. The federal government, however, acts under a different set of rules.<p>During each of the last five years, agencies …

Nephrology

Greater risks of adverse events such as altered mental status, falls and fractures were associated with opioid use among patients on hemodialysis, …

“Finally Friday!” How Rounding Can Make a Physician Advisor a Change Agent

<i>Rounding: Making the Physician Advisor<br>an Agent of Change in a Hospital</i><p><b>Drs. Howard Stein and Michael Salvatore</b><p><b>Plus Yet More Scenarios from Dr. …

Up and Coming Non-Clinical Career: The Physician Advisor | Doctor's Crossing

If you’re not familiar with the role of the physician advisor, then grab a seat and some popcorn. This may be of interest to you. To introduce this …

Fraud Prevention Toolkit - Centers for Medicare & Medicaid Services

Partner Resources<p>Patients Over Paperwork<br>• African American<br>• Asian American and Pacific Islander Outreach<br>• Caregiver Partners<br>• Disability Organizations & …

Centers for Medicare & Medicaid Services

Partner Resources<p>Patients Over Paperwork<br>• African American<br>• Asian American and Pacific Islander Outreach<br>• Caregiver Partners<br>• Disability Organizations & …

Prepayment Review Demonstration - Centers for Medicare & Medicaid Services

Medicare Fee for Service Recovery Audit Program<p>Approved RAC Topics<br>• Proposed RAC Topics<br>• Resources<p>Prepayment Review Demonstration<p><b>December 13, 2013 -</b> …

Current Programs - Centers for Medicare & Medicaid Services

A federal government website managed and paid for by the U.S. Centers for Medicare &<br>Medicaid Services. 7500 Security Boulevard, Baltimore, MD 21244

Recent Updates

<b>April 20, 2018 -</b> Medicare FFS Recovery Audit Contractors (RACs) are approved by CMS to review Periodic Interim Payment (PIP) Providers under CMS New …

H&HN Daily

The final issue of <em>H&HN</em><p>The final issue of <i>H&HN</i><p>The academic program will give the university insight into the cancer<p>The academic program will …

ICD-10 and EHR Fuel Clinical Documentation Improvements

The electronic health record is at the heart of efforts to improve clinical documentation. One effort strives to get disparate EHR software …

Compliance Oversight for Health Care Leaders

Health Care

A Physician-First Approach to Clinical Documentation Improvement

In today’s healthcare, clinical documentation improvement (CDI) has become a strategic imperative at hospitals and health systems across the country. …

The Impact of ICD-10 on Clinical Documentation Improvement Specialists

Contrary to public opinion, ICD-10 is not a coding problem. Clinical documentation improvement (CDI) will be as affected as coding, if not more so. …

Clinical Documentation Improvement: What Executives Need to Know and the Financial Impact of Neglect

February 12, 2013 | Print | Email<p>Everything hospital executives need to know about the importance of clinical documentation improvement is summed up …

Why clinical documentation improvement is so important to hospitals

No matter what the Centers for Medicare & Medicaid (CMS) decide to do with the ICD-10 implementation deadline, clinical documentation improvement …