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Our Monitor Mondays broadcast last Monday shed fresh light on commercial auditing. Although private insurance audits used to be rare, but over the last few years, they seem to be on the increase, reports healthcare attorney David Glaser with the law firm of Fredrikson & Byron. “The initial contact from…
What type of provider are you? Hospital (Acute, IRF, CAH, LTCH) ….. 83% SNK ….. 2% Physician Office, ASC, Lab, Radiology ….. 5% Outpatient Therapy ….. 1% Consultants ….. 7% CMS MACs RACs ZPICS other PSC ….. 1% Other, Insurance/Payer ….. 2%
Since the end of February RAC Activity has been: 100% - no difference ….. 13% 75% - slight decrease ….. 12% 50% - about half ….. 12% 25% - significant decrease ….. 30% Less than 25% ….. 21% N/A ….. 12%
The eyes are windows to the soul as we have heard. And looking in the eyes of Inspector General Dan Levinson on Monday as he and I chatted in between broadcasts at HCCA hinted at an enchanted soul. I told the Inspector General how much I appreciated his using the…
Not too long ago, in fact, last week, J. Paul Spencer, a regular on Monitor Mondays, posed this question to a group of other Monitor Mondays regulars, hoping to find an answer. Wrote Paul: Usually, I would post this question on the RAC Relief group on Google, but since my…
A bipartisan bill delaying until September 2015 the controversial two-midnight rule has been introduced in the U.S. Senate. The bill, the Two-Midnight Rule Coordination and Improvement Act of 2014 (S.2082), was introduced yesterday by U.S. Senators Robert Menendez (D-NJ) and Deb Fisher (R-NE).
Monitor Mondays will be broadcasting live from the HCCA Compliance Institute in San Diego, March 31 through Wednesday, April 2. Senior Monitor Monday correspondent Nancy Beckley will be my co-host for three days of live broadcasts. So far, the schedule for Monday, March 31 looks like this: Monitor Mondays –…
The ALJ appellant forum will be held Feb. 12 in Washington, D.C. and is expected to feature Chief ALJ Judge Nancy Griswold. Others from the Office of Medicare Hearings and Appeals, including Jane Cironi, director of OMHA’S central operations division; Jason Green, director of the agency’s program evaluation and policy…