Appropriate reimbursement requires compliance
Compliance guidance requires education...continually
Lookup a coding or compliance topic — or ask a question.
These on-demand eCourses are available immediately.
Call our Client Support Team (877) 976- 6677
Smart Revenue Rocks!
More
Health care fraud prevention and enforcement efforts recover record $4 billion; new Affordable Care Act tools will help fight fraud Joint DOJ & HHS efforts result in largest sum ever recovered in single year; new rules under the Affordable Care Act will keep fraudulent providers and suppliers out of Medicare, Medicaid, CHIP and avoid payments […]
Health care fraud prevention and enforcement efforts recover record $4 billion; new Affordable Care Act tools will help fight fraud Joint DOJ & HHS efforts result in largest sum ever recovered in single year; new rules under the Affordable Care Act will keep fraudulent providers and suppliers out of Medicare, Medicaid, CHIP and avoid payments […]
Includes Stark Law issues and self-disclosure of E/M upcoding issues What lawyers call “technical” Stark violations can slam hospitals because of the black-and-white nature of the statute, a fact of life that hit home for Detroit Medical Center, which agreed to pay $30 million to resolve false claims allegations arising from sweetheart deals with referring […]
Includes Stark Law issues and self-disclosure of E/M upcoding issues What lawyers call “technical” Stark violations can slam hospitals because of the black-and-white nature of the statute, a fact of life that hit home for Detroit Medical Center, which agreed to pay $30 million to resolve false claims allegations arising from sweetheart deals with referring […]
MLN Matters® Number: MM7019 Related Change Request (CR) #: 7019 Related CR Release Date: July 30, 2010 Effective Date: January 1, 2011 Related CR Transmittal #: R2011CP Implementation Date: January 3, 2011 from MLN Matters: Current Medicare instruction requires IRF and SNF PPS providers to report assessment dates in form locator 45, Service Date, […]
A-Z State Medicaid Agencies Provider Directory includes 5 US Territories State Agency Link Alabama Medicaid Agency medicaid.alabama.gov AlaskaMedicaid Health Enterprise medicaidalaska.com American Samoa Government Medicaid americansamoa.gov Arizona Health Care Cost Containment System (AHCCCS) ahcccs.state.az.us Arkansas Medicaid medicaid.state.ar.us California Medical Care Services (Department of Health Services) dhcs.ca.gov Colorado Department of Health Care Policy andFinancing chcpf.state.co.us Connecticut […]
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 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 […]
Medical Necessity Reviews Approved for Some New DRGs DCS Healthcare, the Recovery Audit Contractor (RAC) for CMS Region A, posted approvals on Tuesday morning, December 7, for 21 new CMS approved issues for RAC review, including 110 new DRG Validations, plus medical necessity review for Renal and Urinary Tract Disorders, which would include at least […]
