Formerly known as Recovery Audit Contractors, the Tax Relief and Health Care Act of 2006 created Recovery Auditors to identify Medicare overpayments and underpayments made on claims of healthcare services provided to Medicare beneficiaries.Read More »
Before the first word of an appeal is ever written, review the denial chart thoroughly with the hospital’s appeal response ream. An appeal response team does not need to be big and certainly should not follow the usual constraints imposed...Read More »
Q:How does the Supplemental Medical Review Contractor (SMRC) determine which reviews to perform? Does SMRC work for CMS or our Medicare Administrative Contractor (MAC)? Read More »
According to an ACDIS poll, 71% of respondents conduct clinical validation reviews. Listen to the Quarterly Membership Call to learn more about this complex topic.Read More »
ACDIS members are invited to join the ACDIS Advisory Board today for the Quarterly Membership Conference Call, which will focus on the new clinical validation white paper.Read More »
Clinical validation is definitely a hot topic in CDI right now. According to the 2017 CDI Industry Survey (which will be made available during CDI Week), 85.13% of respondents sent at least one to five clinical validation queries in the last month. Yet, only 41.81% have a policy governing these...Read More »
