RAC talk: A few minutes with Elizabeth Lamkin
Recovery Auditor Report, December 2, 2010
Name: Elizabeth Lamkin
Title: President
Company: Dalzell Consulting Group, Inc. Hilton Head, SC
Quick-hit RAC background: Elizabeth has 20 years of executive experience including the position of CEO of multi-hospital systems. Most recently she served as president of Hilton Head Regional Healthcare where she was part of the South Carolina RAC demonstration project. Elizabeth successfully navigated the RAC process and implemented a system to ensure appropriate billing compliance and win RAC appeals. Elizabeth is currently president of Dalzell Consulting Group, Inc. specializing in systems improvement to improve margins.
What are some (or just one) of the most common errors you’ve seen hospitals make when it comes to the RAC process? The most common error I have seen hospitals make is poor documentation of medical necessity and continued stay. The by-product of poor or no documentation is inaccurate coding and the inability to appeal RAC findings. Another error hospitals often make is having an out-of-date chargemaster. This can lead to patterns of incorrect billing for such things as dose vs. unit billed. Physicians are also at risk in this area.
Related Products
-
Core Skills for Hospital Case Managers:
A guide to fundamental case management responsibilities, Core Skills for Hospital Case Managers serves as a training...
-
Combat RAC Denials: Strategies for Successful Appeals
During this 90-minute audio conference, our speakers provide step-by-step procedures, timelines, tools, and best practices...
-
The 2013 Medicare Compliance Forum: Las Vegas, NV
-
Level of Care Determinations for 2014: Las Vegas, NV
Attend the half-day seminar, Outpatient, Observation or Inpatient? Continuing to Walk the Tightrope of Regulatory Guidance...
-
OPPS and IPPS Reimbursement Fundamentals: Las Vegas, NV
Attend OPPS and IPPS Reimbursement Fundamentals, a half-day seminar on October 2nd in Las Vegas. Learn how CMS’ substantial...
Most Popular
- Articles
-
- Don't forget the three checks in medication administration
- Nursing responsibilities for managing pain
- Steps for maintaining patient privacy
- Know guidelines and subtle differences in code descriptions for laceration repairs
- Complications from immobility by body system
- Practice the six rights of medication administration
- Poor documentation: The consequences
- Note similarities and differences between HCPCS, CPT® codes
- 10 Tips for Educating Elderly Patients
- Neurological checks for head injuries
- E-mailed
- Searched