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AHA Claim Level Tracking Tool

On , in Documents, by AQ-IQ LLC

This tool is provided by AHA — for support and terms and conditions of use, please visit this AHA webpage. Internal tracking of audit activity is essential for managing the RAC process. Hospitals also will need to organize their data to properly respond to the RACTrac survey. In anticipation of needing to assist hospitals in […]

CMS Transmittal 361: Face Validity Assessment of Advance Beneficiary Notices (ABN) for Complex Medical Record Reviews

On , in Documents, by AQ-IQ LLC

CMS Manual System Department of Health & Human Services (DHHS) Pub 100-08 Medicare Program Integrity Centers for Medicare & Medicaid Services (CMS) Transmittal 361 Date: December 10, 2010 Change Request 6988 SUMMARY OF CHANGES: This CR requires that a mandatory ABN (Advanced Beneficiary Notice), shall be requested as part of the ADR on all claims […]