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Tag Archives: extrapolation
“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!” New Nightmare: Request for Restriction in HIPAA Omnibus Rule
This session was recorded on Friday, June 28, 2013. Today’s show discusses a little known part of the new HIPAA Omnibus Rule, published in January, which took effect in March, and is likely to BITE your hospital or practice or … Continue reading
“Finally Friday!” Extrapolation of Medical Necessity by the OIG
This session was recorded on Friday, June 21, 2013. Today’s show is a walk down into the rabbit hole… the rabbit hole that is Extrapolation… We look into a case where the OIG uses extrapolation to do some strange estimations … Continue reading
Posted in Finally Friday!
Tagged CMS, extrapolation, frank cohen, medical necessity, OIG, statistical audit
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“Finally Friday!” ALJs, ZPICs and Extrapolation
This session was recorded on Friday, April 26, 2013. Amy Fehn, a partner at Wachler Associates, goes over some recent experiences with ALJ hearings, including lost medical records — lost by the QIC! Amy also provides some excellent advice about … Continue reading
Posted in Finally Friday!
Tagged ALJ, extrapolation, finally friday, medicare rac appeal, zpic audit, ZPICs
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