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Tag Archives: craneware
CMS 68% Settlement Offer Scorecard Worksheet
Craneware created a “scorecard” for hospitals to use in an attempt to quantify the value of CMS’ Global Settlement for appeals of RAC denials. CMS set the deadline for hospitals to decide and file to accept the settlement offer by … Continue reading
Posted in Academy Blog
Tagged appeal academy, cms 68% settlement, cms global settlement offer, craneware
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“Finally Friday!” Solutions to RAC ADRs, Global Settlement Offer
FRIDAY September 26, 2014 Solutions to Recent CMS Initiatives How Some Providers Address Them Get the Handouts One thing’s for sure… it’s not boring around here, is it? This week we’ll cover two key subjects and the re-appearance of RAC … Continue reading
“Finally Friday!” Final Word on Transmittal 541 and “Clawbacks”
FRIDAY September 19, 2014 The Final Word on “Clawbacks” Transmittal 505/534/540/541 Watch the Replay and Get the Handouts Project FAIL: when a government project fails, they just change it’s mission – reset the parameters, the expectations. That’s what happened with … Continue reading
Posted in Finally Friday!
Tagged appeal academy, bill malm, CMS, cms rac, craneware, ernie de los santos, finally friday, health law partners, Medicare, recovery analytics, recovery audit contractor, sharon easterling, transmittal 505, transmittal 534, transmittal 540, transmittal 541
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“Finally Friday!” Physician Documentation for a New Audience – Dr. John Zelem
FRIDAY September 12, 2014 “Are we documenting for a new audience?” Dr. John Zelem of EHR returned to advise us on what he’s been learning about this critical subject… Get the Handouts Our Guest was John Zelem, MD, FACS, General … Continue reading
“Finally Friday!” CMS Global Settlement Offer for Existing Appeals of Inpatient Claims
CMS Offers 68% for Your Appeals: How will it work and is it a good deal ? Get the Handouts Late on Friday August 29, 2014, CMS issued proposed settlement terms to acute care hospitals with pending appeals of denials … Continue reading
“Finally Friday!” Key Changes in CMS FY2015 IPPS Final Rule
What Should You Know About the FY2015 IPPS Final Rule? Watch the Replay and Get the Handouts Surfers can choose to ride the wave or not. Providers have no such choice. Usually, there is much to dig into, when CMS … Continue reading
“Finally Friday!” CY2015 OPPS Proposed Rule Report & Confusion on Status Decisions
Two Special Reports, Two Special Guests: Expert Physician Advisor, Dr. Deepak Pahuja Returned to Our Show: Common Misconceptions in Admission Decisions Hear Dr. Pahuja’s Latest Recommendations to Dispel Them Get the Handouts & Watch the Replay Here Dr. Deepak Pahuja, … Continue reading
“Finally Friday!” CMS OMHA Settlement Conferences and Statistical Sampling
OMHA Settlement Conferences and OMHA Statistical Sampling Alternate but Rejected Title for this Show: How CMS Plans to Use Your Money to Solve Their Problems We were joined this week by Jessica Gustafson and Abby Pendleton from The Health Law … Continue reading
Posted in Finally Friday!
Tagged abby pendleton, appeal academy, bill malm, cms rac, craneware, ernie de los santos, extrapolation, finally friday, health law partners, ip part b rebilling, jessica gustafson, medicare appeals, OMHA, RAC, RAC Audit, recovery audit contractor, settlement facilitation, statistical sampling initiative
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“Finally Friday!” – Can You Rebill Part B for Inpatient or Not?
Joining us this week was Jessica Gustafson from The Health Law Partners, and one of our frequent listeners and commenters, Dr. Larry Field also joined us briefly – as we went over our new Decision Trees to help you know if … Continue reading
“Finally Friday!” Decision Trees for 2-Midnight Rule Conversions
Joining us this week was a panel of experts discussing our handouts, decision trees for: Day One Day Two Day Three & Beyond Conversion of OP to IP Find the PDFs below – download and post, copy, distribute, whatever – … Continue reading
Posted in Finally Friday!
Tagged 24-hour benchmark, 48-hour rule, abby pendleton, accretive pas, appeal academy, bill malm, CMS, CMS-1599, craneware, ernie de los santos, executive health resources, finally friday, jessica gustafson, recovery analytics, ron hirsch, sharon easterling, steve meyerson, tom mccarter
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