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Displaying records 1 to 20 out of 796 results for "audit and appeals".
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SORT RESULTS BY: RELEVANCY | PUBLICATION DATE
A survey by the American Hospital Association found that hospitals appeal nearly half of the deni
DECEMBER 22, 2015
The Medicare appeals process has become a logjam The Medicar
AUGUST 1, 2014
Of all the Recovery Auditor denials, hospitals reported appealing about 50% with more than a 50%
The controversy around Medicare's Recovery Audit Contractor program continues; a judge has ruled
SEPTEMBER 4, 2014
  Appeals and appeal rights; what you need to know
NOVEMBER 11, 2016
  Tips to win an appeal
JANUARY 19, 2018
The American Hospital Association (AHA) says that Recovery Audit Contractor (RAC) reform is neede
JANUARY 13, 2015
Three university hospitals saw a doubling of Recovery Auditor audit activity from 2010–2011
MARCH 11, 2015
JUSTCODING
Three university hospitals saw a doubling of Recovery Auditor (RAC) audit activity from 2010&ndas
While some HIM professionals may feel a sense of relief knowing RAC audits are on hold for the re
CMS has awarded five new contracts for the next round of the Recovery Audit Program,
NOVEMBER 15, 2016
  GAO finds Medicare appeals backlog not decreasing fast enough
  Low Volume Appeals Settlement Option Call
DECEMBER 22, 2017
  Featured member resource: ADR appeal documentation checklist
NOVEMBER 16, 2018
The release earlier this month of secret Medicare Advantage audits CMS conducted on several major
  Skilled nursing facility compliance audit
AUGUST 26, 2016
  Improvements to the Medicare Claims Appeal Process and Statistical Sampling MLN Connects Call
On April 28, 2015, The Senate Finance Committee held a hearing about the Medicare appeal p
Many covered entities leave money on the table by neglecting to appeal denied Medicare claims. Re
Many covered entities leave money on the table by neglecting to appeal denied Medicare claims. Re
The appeals process may be time consuming, but it’s worth every penny. Organizations respon
In exchange for dropping appeals, CMS says it will provide partial payment of previously d
The appeals process may be time consuming, but it’s worth every penny. Organizations respon
  Internal auditing strategies for ongoing ICD-10 success
  Ongoing auditing for valid ICD-10 codes
DECEMBER 18, 2015
  Unannounced audit! What do you need to review first?
DECEMBER 14, 2016
  Survey preparation: How self-audit practices come from QAPI
SEPTEMBER 15, 2017
  Reduce your audit risk: How to analyze the UB-04
NOVEMBER 17, 2017
  What do you need for an unannounced audit?
DECEMBER 22, 2017
  What to do post-audit: How to set yourself up for success
DECEMBER 8, 2017
  Featured member resource: MDS chart audit tool
NOVEMBER 9, 2018
  Tools to conduct an admission audit on your facility
DECEMBER 14, 2018
Home health agencies and other providers with a low volume of pending appeals at the administrati
Another hospital lost its attempt to push through the backlog of denied claims appeals recently.
The Recovery Audit Program’s mission is to identify and correct Medicare improper pay-ments
FEBRUARY 1, 2019
Long-term care providers will be able to appeal certain Medicare claims decisions without
  Obstructing audits could lead to Medicare exclusion for long-term care facilities
MARCH 17, 2017
The Office for Civil Rights’ (OCR) phase two HIPAA audits officially began last week when t
OCR Director Jocelyn Samuels recently stated that audit procedures for phase two HIPAA audits hav
The Department of Labor (DOL) recently decided to appeal a ruling that effectively ended changes
Auditing Evaluation and Management Services, Second Edition, will help
Auditing Evaluation and Management Services, Second Edition, will help
DECEMBER 29, 2015
You can never conduct too many chart audits. However, there are certain time points when you shou
Ready or not, Phase 2 of OCR's HIPAA audit program is nearly ready to begin, and healthcare organ
SEPTEMBER 8, 2015
Auditing Evaluation and Management Services: A Step-By-Step Guide to Accurate Coding, Rei
DECEMBER 30, 2014
This will be a big year for audits between the new Recovery Auditors hitting the ground later t
Last Thursday, three judges for the U.S. Court of Appeals for the District of Columbia heard oral
The California Court of Appeal recently ruled that the state’s cap on noneconomic damages u
Conducting pre-billing audits can be challenging, but when done correctly, it can save organizati
Revenues from Department of Health and Human Services Office of Inspector General audits a
  The 11th U.S. Circuit Court of Appeals upheld Florida’s controv
JULY 31, 2014
The Indiana Court of Appeals recently upheld a $1.4 million verdict against Walgreens foll
Become a pro at assigning, verifying, and auditing E/M codes. The
Become a pro at assigning, verifying, and auditing E/M codes The
SEPTEMBER 8, 2015
OIG tells OCR to establish its permanent audit plan. OIG officials called OCR's oversight of the
  To help reduce the number of appeals over short-term inpatient stay claims, CMS
SEPTEMBER 4, 2014
The Third Circuit Court of Appeals recently ruled that a former medical resident can sue Mercy Ca
APRIL 7, 2017
Q: Can a claim that is edited for a noncovered procedure be appealed?
Long-term care providers who obstruct audits soon could have their Medicare and Medicaid c
Internal auditing strategies for ongoing ICD-10 success E
AUGUST 1, 2015
DECEMBER 23, 2014
JUSTCODING
With the myriad of responsibilities a home health administrator must discharge each day, auditing
Statistical sampling initiative The Office of Medicare Hearings and Appeals (OMHA) w
The Court of Appeals for the District of Columbia has set a briefing schedule for the Depa
For eight years, while performing lab safety audits, I have cited a couple of labs for having key
JANUARY 7, 2016
HHS begins Phase 2 HIPAA audits The Department of Health and Hu
The Florida Second District Court of Appeal has reversed a lower court finding in the case of
MARCH 26, 2014
JUSTCODING
MACs recently selected more than 29,000 records for review as part of CMS’ probe audits of
 Per the New York State Office of the Medicaid Inspector General (OMIG) Audit Protoc
  The Kentucky Court of Appeals ordered cardiothoracic surgeon Robert T. Fried, MD
AUGUST 14, 2014
An appeals court last week upheld a judgment against Ellis Hospital, in Schenectady, New York, o
A federal appeals court today decided in favor of the Federal Trade Commission (FTC) in a closely
MARCH 19, 2014
JUSTCODING
JUNE 18, 2014
JUSTCODING
A new study finds programs that appeal to the competitive spirit of physicians are effective in g
SEPTEMBER 20, 2016
SEPTEMBER 3, 2014
JUSTCODING
A recent audit revealed six security vulnerabilities within HHS’ Health Resources and Servi
Q: CMS released guidance this summer about not auditing or counting errors for the specif
Q: We just underwent an audit and the auditor took charges off the claim saying that th
Q: CMS released guidance this summer about not auditing or counting errors for the specifi
SEPTEMBER 23, 2015
JUSTCODING
MARCH 9, 2017
  Q: I am auditing a note for a fusion. The note lacks detail, therefore
MARCH 5, 2014
JUSTCODING
JUNE 18, 2014
JUSTCODING
Q: Are records with only one MCC noted targeted by Recovery Auditors or other audit agenci
APRIL 2, 2014
JUSTCODING
SEPTEMBER 30, 2015
JUSTCODING
FEBRUARY 12, 2014
JUSTCODING
SEPTEMBER 9, 2015
JUSTCODING
AUGUST 27, 2014
JUSTCODING
FEBRUARY 11, 2015
JUSTCODING
JANUARY 28, 2015
JUSTCODING
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Displaying records 1 to 20 out of 796 results for "audit and appeals".
( Page 1 of 40 )