In January facilities should expect to receive Recovery Audit Contractors (RAC) demand letters not from the RAC itself but from their Medicare Administrative Contractor (MAC), according to CMS Transmittal 192...Read More »
CMS recently updated Hospital Compare web site data for 30-day mortality rates and 30-day readmissions rates for inpatients admitted with heart attack, heart failure, and pneumonia. The data shows national declines in 30-day mortality rates of 15.9% from 2007 through 2010. (Read more at...Read More »
It started with two courageous coders who knew the query process where they worked at Johns Hopkins Bayview Medical Center, Inc., in Baltimore, wasn't quite right--or compliant.
Specifically, the hospital employed a physician who worked in the billing department to review clinical...Read More »
CMS released the Inpatient Prospective Payment System (IPPS) Final Rule, Monday, Aug. 1, reducing a previously proposed negative 3.9% documentation and coding adjustment (DCA) payment offset to just 2%. The 2% DCA is even lower than the 2011 rate of 2.9%.
Much discussion has been held of late regarding the creation of Accountable Care Organizations (ACO). Not to be left out of the discussion process, AHIMA’s Thought Leadership Forum recently released a white paper on the matter entitled, ...Read More »
Healthcare providers in the A/B MAC jurisdiction 1 have a problem—a paid claims error rate that’s nearly twice the national average for Part B claims, according to a recent letter from...Read More »
