The AHA has released the results of its RACTrac Survey from the fourth quarter of 2015, which aims to give industry officials a snapshot of the Recovery Auditor Contractor program. Since the AHA began ...
On April 27,2022, the Office of Inspector General of the Department of Health and Human Services (OIG), Office of Evaluations and Inspections, issued a report on the performance of Medicare Advantage ...
Denials for outpatient care claims jumped 16% in the last three years, while inpatient care claims rose 26%, according to a May 21 report from Kodiak Solutions. Kodak, which monitors patient financial ...
Annual analysis points to an urgent need to redefine revenue integrity as proactive protection, while strengthening coding integrity and denial prevention measures. WELLESLEY, MA / ACCESS Newswire / ...
Boris Vabson ([email protected]), Harvard University, Boston, Massachusetts. Andrew L. Hicks, Harvard University. Michael E. Chernew, Harvard University. Policy makers have been paying increasing ...
New data exposes aggressive tactics by payers for Medicare Advantage denials. Hospital CFOs are in the crosshairs of aggressive Medicare Advantage (MA) payers, who are increasingly denying claims and ...
As recovery audit contractors set their sites on medical necessity of inpatient stays, hospitals enter a hazy area of compliance. RAC consultants say Medicare definitions of what constitutes inpatient ...
If you disagree with a coverage or payment decision made by Medicare, you can appeal, and you’ll be happy to know that many appeals are successful, so it’s definitely worth your time. But before going ...
Annual analysis points to an urgent need to redefine revenue integrity as proactive protection, while strengthening coding integrity and denial prevention measures. WELLESLEY, MA / ACCESS Newswire / ...
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