Posts 25 of the Same 29 MSDRGs Already on CGI, HDI, Connolly DCS Healthcare posted approvals today for 225 DRG Validations, plus medical necessity review for 25 of the same 29 MSDRGs already approved earlier this month by the three other Recovery Audit Contractors (RACs). DCS, the RAC for CMS Region A, chose to post […]
The Federal Register for August 16, 2010 includes updates for the Medicare Program: Hospital IPPS for Acute Care Hospitals and the LTC Hospital PPS Changes and FY2011 Rates; Provider Agreements and Supplier Approvals; and Hospital Conditions of Participation for Rehabilitation and Respiratory Care Services; and for the Medicaid Program: Accreditation for Providers of Inpatient Psychiatric […]
First Requests for Maximum Records Seen Connolly Healthcare requested the maximum allowable number of records from many facilties in their region over the past few days, sending out Additional Documentation Request (ADR) letters immediately after posting approval for medical necessity review of 29 MSDRGs on August 30. The targeted facilities have never before seen requests […]
Largest Ever Jury-granted Award for Damages in America A jury returned a $677 million judgment against Skilled Healthcare Group, Inc. in a more than four-year-old class action lawsuit alleging that the company violated state mandated nursing coverage requirements in 22 of its nursing facilities over a six-year period, on Tuesday, July 6, 2010. At issue […]
Documents related to this case: SECONDED AMENDED CLASS ACTION COMPLAINT — Filed in Superior Court of the State of California for the County of Humboldt, Case No.: DR060264, April 16, 2008. VERIFIED ANSWER TO MOTION TO DISQUALIFY JUDGE — Filed Jun 11, 2009. STIPULATION AND ORDER, FORM 8-K AND PRESS RELEASE — Dated July 15, […]
Largest Ever Jury-granted Award for Damages in America A jury returned a $677 million judgment against Skilled Healthcare Group, Inc. in a more than four-year-old class action lawsuit alleging that the company violated state mandated nursing coverage requirements in 22 of its nursing facilities over a six-year period, on Tuesday, July 6, 2010. At issue […]