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Recovery Auditor Report
The Recovery Auditor Report is a free biweekly e-newsletter of useful tips and strategies to get you prepared for the arrival of Medicare's Recovery Audit Contractors (RACs).
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Issue 24, November 29, 2012
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Notice: Your subscription will be changing in the coming weeks!
Very shortly, Recovery Audit Report will be replaced with Medicare Insider. -
OIG issues review of Medicare appeals at the Administrative Law Judge level
On November 15, the OIG issued a review of ALJ appeals decided in fiscal year 2010. -
Recent Recovery Auditor activity
Connolly posts 24 new issues across five categories -
Roundup: Relevant Medicare updates
CMS issues notice on hospital outpatient payment panel
Issue 23, November 15, 2012
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Recovery Auditors on the hot seat: Scrutiny pouring in from numerous angles
On October 16, it was reported that legislation was introduced by Representative Sam Graves (R-MO... -
Revenue Cycle Institute posts free monthly tool
Each month the Revenue Cycle Institute publishes a free sample tool or form for readers. -
Recent Recovery Auditor Activity
HealthDataInsights posts four new issues across two categories -
Final OPPS rule increases drug payments
The 2013 Outpatient Prospective Payment System final rule finalizes ambulatory payment...
Issue 22, November 1, 2012
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Recovery Auditor improvements, transparency highlight house legislation bill
Representative Sam Graves (R-MO) introduced legislation October 16 that aims to improve the... -
Prepayment review demonstration begins; CDI role in audit defense gains momentum
Editor’s note: This article originally appeared in the CDI Journal. -
Recent Recovery Auditor Activity
Performant Recovery posts three issues across two categories -
Readmissions Reduction: A 360-Degree Review
Hospital readmissions have the potential to cause a negative financial impact on your facility and...
Issue 21, October 18, 2012
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CMS issues next wave of supervision decisions on Hospital Outpatient Payment Panel
Earlier this year, CMS held its first Hospital Outpatient Payment Panel meeting, which managed to... -
HHS Secretary Kathleen Sebelius interview with BC Advantage
BC Advantage—a company that provides medical office with in-depth content written by industry... -
Revenue Cycle Institute posts free monthly tool
Each month the Revenue Cycle Institute publishes a free sample tool or form for readers. -
Recent Recovery Auditor activity
HealthDataInsights posts two new issues across two categories, including first prepayment review... -
Reboot for ICD-10 - Lessons from UnitedHealth Group
The transition to ICD-10 code set is expected to be one of the most substantial changes in medical... -
Reboot for ICD-10?Training and Operational Readiness Checklist for 2013
Webcast: Oct. 22, 2012, 1:00-2:30 p.m. ET
Issue 20, October 4, 2012
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CMS releases latest Recovery Auditor improper payment figures
Following the close of each fiscal year (FY) quarter, CMS releases statistics for the amount of... -
Revenue Cycle Institute posts free monthly tool
Each month the Revenue Cycle Institute publishes a free sample tool or form for readers. -
HCPro's 2012 Medicare Compliance Forum
HCPro and the Revenue Cycle Institute team are proud to announce the 2012 Medicare Compliance Forum -
Recent Recovery Auditor activity
DCS issues important provider notice
Issue 19, September 20, 2012
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Revenue Cycle Institute posts free monthly tool
Each month the Revenue Cycle Institute publishes a free sample tool or form for readers. -
Recent Recovery Auditor activity
DCS Healthcare posts new issue for inpatient hospital claims
Issue 18, September 6, 2012
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CMS releases October OPPS update
CMS released the October OPPS update this week with a smattering of unrelated, but important... -
Recovery Auditor prepayment review ODF transcript and audio
The transcript & audio file from the August 9, 2012 Medicare Fee-For-Service Recovery Auditor... -
Medicare Compliance Forum 2012 spotlight: CMS' proposal to redefine inpatient
In the recently released 2013 OPPS proposed rule, CMS issued a request for comments that suggests... -
CMS finalizes ICD-10 compliance date
HHS will delay implementation of ICD-10 by one year, from October 1, 2013 to October 1, 2014. -
Recent Recovery Auditor activity
DCS Healthcare posts new issue for outpatient hospital claims
Issue 17, August 23, 2012
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Financial impacts of the Hospital Readmissions Reduction Program
Last week, Kimberly posted an overview of the FY 2013 IPPS final rule and the potential impact to a... -
Recent Recovery Auditor Activity
Connolly posts 10 new issues across three categories
Issue 15, August 9, 2012
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CMS announces official start date for Recovery Auditor prepayment reviews
CMS officially announced the Recovery Auditor prepayment review demonstration this past November... -
CMS releases 2013 IPPS final rule
On August 1, CMS issued a display copy of the 2013 inpatient prospective payment system final rule. -
Revenue Cycle Institute posts free monthly tool
Each month the Revenue Cycle Institute publishes a free sample tool or form for readers.
Issue 14, July 26, 2012
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Revenue Cycle Institute posts free monthly tool
Each month the Revenue Cycle Institute publishes a free sample tool or form for readers. -
Recent Recovery Auditor activity
CGI posts four new issues for physician claims -
Recent Recovery Auditor activity
DCS Healthcare posts seven new issues across four categories
Issue 13, July 12, 2012
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CMS issues 2013 OPPS proposed rule
CMS is proposing two major changes as part of the 2013 Outpatient Prospective Payment System (OPPS... -
Three-day payment window FAQs issued by CMS
On June 14, CMS issued 43 new FAQs related to MLN Matters article MM7502, “Bundling of... -
CMS replaces transmittal on reporting of recoupment for overpayment on the RA
On June 28, CMS replaced transmittal R1088OTN, containing information on the reporting of... -
Recent Recovery Auditor activity
CGI posts new issue for outpatient claims
Issue 12, June 28, 2012
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Coming soon: Recovery auditor prepayment reviews
Last November, CMS unveiled three demonstration projects aimed at reducing improper payments in the... -
July OPPS update: Self-administered drugs
Last week, Kimberly provided an overview of the many significant updates and clarifications that... -
Revenue Cycle Institute posts free monthly tool
Each month the Revenue Cycle Institute publishes a free sample tool or form for readers. -
Recent Recovery Auditor activity
HealthDataInsights posts seven new issues across three categories
Issue 11, June 14, 2012
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First of 2012: CMS announces supervision decisions for select services
In the 2012 outpatient prospective payment system (OPPS) final rule, CMS established a process to... -
Recent Recovery Auditor Activity
DCS Healthcare posts ten new issues across six categories -
Note from the instructor: July 2012 quarterly update contains multiple significant updates and clarifications
There were a number of interesting items in the July 2012 Update to the Hospital Outpatient...
Issue 10, May 31, 2012
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CMS identifies CERT, Recovery Auditor findings in latest quarterly compliance newsletter
Last month CMS released the seventh issue of its Medicare Quarterly Provider Compliance Newsletter.
Issue 9, May 17, 2012
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Recent OIG reports show critique on CMS' processes and programs
During the past few months, there have been a number of Office of Inspector General (OIG) reports... -
Revenue Cycle Institute posts free monthly tool
Each month the Revenue Cycle Institute publishes a free sample tool or form for readers. -
Recent Recovery Auditor activity
DCS Healthcare posts one new issue into two categories -
Medicare rules change frequently
With a year subscription to the Medicare Boot Camp for Hospitals Quarterly Update Service, you will...
Issue 8, May 3, 2012
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CMS issues IPPS proposed rule for FY2013
Inpatient acute care hospitals could see a 2.3% increase in payment rates under the fiscal year... -
Recent Recovery Auditor Activity
CGI posts new issue for medical necessity claims -
2012 broadcast events program calendar
Take a look at all of the different programs that HCPro has to offer this year in its 2012... -
HCPro's 2012 Medicare Compliance Forum
HCPro and the Revenue Cycle Institute team are proud to announce the 2012 Medicare Compliance Forum.
Issue 7, April 19, 2012
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Recovery auditor hot topics: Audit MICs struggling to identify overpayments
On March 20, the Office of Inspector General (OIG) issued a report that presents an early... -
New! Revenue Cycle Institute releases 2012 Three-Day Rule White Paper
The Revenue Cycle Institute has released a new white paper, “Mastering the Three-Day Payment... -
Revenue Cycle Institute posts free monthly tool
Each month the Revenue Cycle Institute publishes a free sample tool or form for readers. -
One-year delay of ICD-10-CM/PCS proposed from HHS
HHS released a proposed rule yesterday that announces a one-year delay for the implementation of... -
Recent Recovery Auditor activity
DCS Healthcare posts eight new issues across four categories
Issue 6, April 5, 2012
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CMS to resolve incorrect claims processing issue for 12X and 13X bill types
On February 24, CMS sent out an update informing providers that it has identified a Medicare claims... -
CMS requires the creation of improper payment edits
In early March, CMS released two related transmittals that rescinded prior transmittals. -
Recent Recovery Auditor activity
DCS Healthcare posts three new issues across two categories -
Three-day payment window explained
Join HCPro on Tuesday, April 17, at 1 p.m. (Eastern) for the 90-minute live audio conference...
Issue 5, March 22, 2012
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Recovery auditor hot topics: Medicaid RACs
The following article is part two in a series covering various topics in the world of recovery... -
Recovery Auditors to increase medical records request limits
On March 12, CMS issued an update that effectively raises the additional documentation requests... -
From the field: CMS Q&A on the discussion period
After reading about another provider’s Recovery Auditor correspondence woes in a February 23... -
Revenue Cycle Institute posts free monthly tool
Each month the Revenue Cycle Institute publishes a free sample tool or form for readers. -
Recent recovery auditor activity
CGI posts three new issues across two categories
Issue 4, March 8, 2012
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Recovery auditor hot topics: esMD
The following article is part one in a series covering various topics in the world of recovery... -
Q&A with Debbie Mackaman: Recovery auditors and more
What type of impact do you think the newly announced demonstration project for recovery auditor... -
Recent recovery auditor activity
HealthDataInsights posts 10 new issues for medical necessity claims
Issue 3, February 9, 2012
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Start date announced for recovery audit prepayment review demo
On November 15, 2011, CMS unveiled three demonstration projects aimed at reducing improper payments... -
CMS posts year-end improper payment figures, top issues by region
On February 9, CMS posted its latest recovery auditor update. The results show a continuing trend... -
Recovery audits result in changes to CMS systems and recoupment options
This week CMS published two transmittals that affect CMS systems as a result of the recovery audit... -
New! Revenue Cycle Institute releases 2011 Recovery Auditor Benchmarking Report
The Revenue Cycle Institute has released a new white paper -
Recent recovery auditor activity
Connolly adds 17 new issues across five categories -
From the field: Recovery auditor correspondence troubles
A provider in Region C has recently experienced problems with Connolly (The Region C recovery... -
Medicare Membership Program
Get answers to your questions and Medicare compliance guidance from the experts all year long. -
Recent recovery auditor activity
DCS Healthcare posts new issue for DME supplier claims
Issue 2, January 26, 2012
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CMS posts Q4 improper payment figures, top issues by region
Each quarter CMS issues a recovery audit program update that details the total amount of... -
CMS posts new quarterly provider compliance newsletter
In its most recent (January 20) Medicare Quarterly Provider Compliance Newsletter, CMS once again... -
From the field: The demand letter problem grows
A RAC coordinator at a hospital in Region B (who wished to remain anonymous) shared one of her... -
Recent RAC activity
DCS Healthcare posts 25 new issues for medical necessity claims
Issue 1, January 12, 2012
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CMS to delay two of out three new demonstration projects aimed at reducing improper payments
On December 29, CMS issued a notice announcing the delay of the recovery audit prepayment review... -
From the field: Chasing clues on demand letters
A RAC coordinator at a hospital in Region C (who wished to remain anonymous) shared one of her... -
Revenue Cycle Institute posts free monthly tool
Each month the Revenue Cycle Institute publishes a free sample tool or form for readers. -
Recent RAC activity
DCS Healthcare posts 40 new issues for medical necessity claims
Issue 10, May 31, 2012
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Note from the instructor: CMS to release new short-term acute care PEPPER
In late May, CMS plans to release nationwide a new short-term (ST) acute care Program for... -
Recent Recovery Auditor Activity
Connolly posts 12 new issues across five categories