April, 2010 - Make Your Revenue Smarter

RAC 101 – The Movie

RAC 101 Video Posted by CMS CMS posted a recording of a RAC 101 seminar conducted by Connie Leonard and Commander Marie Casey, earlier in April. The video includes a short Q&A period at the end.   You can turn the captioning on/off or see other videos using the player’s controls:  

Patient Protection and Affordable Care Act

On , in Archives, by AQ-IQ LLC

Text of the Patient Protection and Affordable Care Act This bill was enacted after being signed by the President on March 23, 2010. Read the text of the bill as of Aug 25, 2010 (Passed Congress/Enrolled Bill).   For more links and information, or to research current legislation visit The Library of Congress

Medicare Appeals Council Decision: Part B Payable in Part A Denial

On , in Documents, by AQ-IQ LLC

Documents concerning payment of Part B despite a Part A Denial A February 1, 2010 decision by the Medicare Appeals Council (Council) found in favor of the appellant (O’Connor Hospital in San Jose, CA). This decision is consistent with a March 14, 2005 decision by the Council, which found in favor of that appellant (University […]

Health Reform Law Adds More Audits and Enforcement

Adds Another $250 Million to Combat Medicare Fraud and Errors The new health reform legislation signed by President Obama on March 23 (H.R.3590), plus the reconciliation “fixes” enacted on March 25 (H.R. 4872) provide $250 Million of additional funding for Medicare audits and enforcement, create new federal enforcement tools, create a new Stark self-disclosure process, […]

Medicare Appeals Council: Part A Denial is Not An Automatic Denial for Part B Services

Council Denies CMS Appeal The Medicare Appeals Council (Council) disagreed with the Centers for Medicare and Medicaid Services (CMS) when asked by CMS to review and overturn a September 2009 decision by an Administrative Law Judge (ALJ). The case concerns an ALJ decision that agreed with a Demonstration Project RAC to deny Medicare coverage for […]