In a letter to CMS, more than 100 members of the House of Representatives asked the agency to consider “an alternative payment arrangement with [Recovery Auditors, formerly known as RACs] to ensure RACs are not improperly...Read More »
Senate Finance, House Ways and Means, and House Energy and Commerce committees combined multiple Medicare physician payment reform proposals into one bipartisan bill titled SGR Repeal and Medicare Provider Payment Modernization Act of 2014, released Feb. 6.
I became a physician because I enjoy taking care of sick people. In today’s environment, however, I am subject to numerous unanticipated burdens that interfere with my continued enjoyment of that privilege. In discussions with my colleagues, I clearly have...Read More »
Contractors could use a little guidance from CMS to do a better job at reviewing medical records for electronic health record (EHR) problem areas. For example, clues within the progress notes, hand writing styles, and other attributes that help corroborate the authenticity of paper medical...Read More »
Reducing mistakes and eliminating fraud are the dual goals in today's claims auditing environment. While these goals are admirable, the aggressive strategy typically executed by Recovery Auditors and other auditing agencies to achieve those goals is fundamentally...Read More »
The American Hospital Association threw its support behind proposed legislation that would delay enforcement of the ‘two-midnight’ rule. Originally included in the 2014 IPPS Final Rule, the regulation changes the definition of medical necessity for...Read More »
