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  Case Management Weekly Case Management Weekly 
 
Case Management Weekly is a free e-mail newsletter that offers news, resources, and Q&As to help case managers from all settings find ways to enhance quality and reduce legal and compliance risks.

July 16, 2008   (Volume 5, Issue 29)
 
CMW News: CMS develops program to prevent Medicare fraud
After findings suggested that CMS has paid more than $92 million to fraudulent Medicare claims for durable medical equipment (DME), the organization recently announced it has implemented a system to eliminate the deception.
 
CMW News: RAC program has saved CMS almost $700 million, report says
Since its implementation in 2005, CMS’s recovery audit contractor program (RAC) has returned $693.6 million of improper Medicare payments to the Medicare Trust Funds, says a report issued in June by CMS. in     This number takes into account the cost of the program, the dollars repaid to health providers, and the money overturned on appeal.
 
CMW Tip of the Week: Clearing up concurrent coding
This week’s tip is an ask the expert with a question provided by Case Management Weekly reader Josie McKorkle from Forrest General Hospital in Hattiesburg, MS. The answer is provided by Carol Everhart, RN, BA, the director of clinical informatics at Curaspan Healthgroup, Inc.
 
CMW Sneak Peek: Increase your facility's access to healthcare while improving the bottom line

When Joel F. Karman, MSW, LSW, MPH, senior director of social services and guest relations at the University of Illinois Medical Center (UIMC) in Chicago, first pitched his idea to hire a full-time staff member charged with finding nontraditional funding resources for the uninsured, he knew it would raise a few eyebrows.

 

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