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?? Medicare’s Recovery Audit Contractors (RAC) to pay??
357,000 backlogged appeals awaiting determination in the Office of Medicare Hearings and Appeals (OMHA) has caused Representative Jim McDermott (D-WA), ranking member of the House Ways and Means Health Subcommittee, to voice his concern. In a letter to Department of Health and Human Services (HHS) Secretary Kathleen Sebelius on March 18,2014, he implicated the RAC's and the "Two Midnight Policy" as the "immediate cause" of the backlog and proposed several administrative solutions.
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Posted in: | Tags: Clinical documentation Improvement , Medicare , DENIALS AND APPEALS , physicians , health care compliance , ADMINISTRATORS , RECOVERY AUDIT CONTRACTORS , health care reform | Comments (0) | View Count: (15627)
CMS ANNOUNCES CHANGES IN RECOVERY AUDITOR (RA) PROCEDURES AND “A PAUSE IN OPERATIONS”
On February 18, 2014 CMS announced that they are in the process of “procurement for the next round of Recovery Audit Program contracts.” There will be a pause in operations to allow current RA contractors to complete all outstanding claim reviews and other processes by the end date of the current contracts. This will also allow CMS “to continue to refine and improve the Medicare Recovery Audit Program.”
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Posted in: | Tags: CMS , DENIALS AND APPEALS , RECOVERY AUDIT CONTRACTORS , ADMINISTRATORS , MEDICARE , health care reform , PHYSICIANS | Comments (0) | View Count: (11297)
CLINICAL DOCUMENTATION STRATEGY; TAMING THE TEMPEST
And Glinda the Good Witch of the North a beautiful young woman with long, rich red hair and blue eyes, wearing a pure white glistening gown replete with sparkling jewels in her crown and magic wand in hand says in a sweet, reassuring voice… “Turn around, close your eyes, tap your heels together three times and think to yourself……There’s no place like pre- health care reform, There’s no place like pre- health care reform, There’s no place like pre- health care reform.”
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Posted in: | Tags: physicians , nurses , health care reform , case managers , physician documentation , hospital , health care , HIMs , utilization review , revenue cycle professionals , Medicare , compliance , coders , ICD-10 , administration | Comments (0) | View Count: (3142)
10

Welcome to the AIHCD blog!

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Welcome to the AIHCD blog!
Welcome to the AIHCD blog! ICD-10 is just around the corner and will bring the most dramatic change to health care since the advent of Medicare in the 60's. Share your knowledge, questions, opinions, fears, experience and anything else you desire to help equip the health care community to cope with ICD-10. This Blog is for Physicians, Nurses, Case Managers, Coders, Revenue Cycle professionals, Administrators, Residents and everyone else who will be impacted by ICD-10. Your voice needs to be h...
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Posted in: | Tags: physician , nurses , clinical documentation , compliance , health care , ICD-10 , coders , administration , coders , HIMs , doctor , Medicare , hospital , physician documentation , case managers , utilization review , revenue cycle professionals | Comments (0) | View Count: (2298)
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