News & Analysis

September 9, 2014
Medicare Insider

This week’s note is about related claims. Click the link above for more information and an in-depth analysis.

August 26, 2014
Medicare Insider

This week’s note is about claim appeals and reopenings. Click the link above for more information and an in-depth analysis.  

August 19, 2014
Medicare Insider

This week’s note is about claim adjustments and reopenings. 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.

February 1, 2014
Strategies for Healthcare Compliance

The majority of Recovery Auditor (RA) takebacks in the past year involved hospitals (88%) and physicians (5%), which isn’t surprising because of the volume of services they provide, says De

August 1, 2011
HIM Briefings

Denied claims got you down? An upper-level appeal may be the answer.

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