News & Analysis

October 28, 2014
Medicare Insider

This week’s note is about new timeframes for complex reviews by contractors. Click the link above for more information and an in-depth analysis.

February 4, 2014
Medicare Insider

On January 31, CMS announced on its Inpatient Hospital Reviews website that it extended the probe and educate period for implementation of the 2-midnight benchmark through September 30, 2014. Along with the announcement of the extension, it also released an updated version of the guidance documents on inpatient hospital reviews and on the new order and certification requirements. Click the link above for more information and an in-depth analysis.

August 1, 2013
HIM Briefings

We've been on quite a ride since the start of the ­Recovery Auditor (RA) demonstration project.

June 1, 2012
HIM Briefings

Managing Recovery Auditor preparation, requests, ­denials, and appeals entails the work of many staff members across many departments.

May 1, 2012
HIM Briefings

Each year HCPro's Revenue Cycle ­Institute reports on the experience of providers related to the Recovery Audit Program. This article is adapted from the 2011 Recovery Auditor Benchmarking Report, released in early 2012 and includes additional comparisons of provider experiences since 2009.

February 1, 2012
HIM Briefings

Just when you thought you had your RAC processes in place, more changes appear on the horizon.

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