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Tag Archives: RAC Audit
“Finally Friday!” Strategies for Medicare Level 3 Appeals
FRIDAY October 17, 2014 Medicare Appeals at Level 3: Providers Left in the Lurch Veteran Appeals Attorneys Review Recent Experiences with ALJs How Can You Prepare & Respond? Watch the Replay and Get the Handouts Since CMS began re-educating the … Continue reading
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Tagged abby pendleton, administrative law judge, ALJ, appeal academy, bill malm, CMS Medicare RAC, cms rac, ernie de los santos, finally friday, health law partners, jessica gustafson, medicare appeals, RAC Audit, recovery audit contractor, sharon easterling
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“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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News from the Week of February 28
The Pause Expands Last Month, CMS extended the pause (I refuse to call it a moratorium) on RAC reviews of Medicare claims under the 2 Midnight Rule to a full year, from Oct. 1, 2013 to Sept. 30, 2014. MACs, … Continue reading
“Finally Friday!” 2014 IPPS Final Rule for Dummies – Part 2
This session was recorded on Friday, September 20, 2013. Certification Forms & Decision Trees We covered two topics this week, relative to the 2014 IPPS Final Rule, concerning Certification requirements and a set of Decision Trees we have created … Continue reading
“Finally Friday!” 2014 IPPS Final Rule for Dummies
This session was recorded on Friday, September 13, 2013. Dr. Michael Salvatore from Beebe Medical Center in Lewes, Delaware shares a presentation he just did for the Hospitalists at his hospital, earlier this week. We share his PowerPoint presentation as … Continue reading
“Finally Friday!” 2014 IP Certification and Order 09 05 13
This session was recorded on Friday, September 6, 2013. Dr. Ron Hirsch from Accretive PAS joined us to recap a talk he just did earlier this week at a conference in St. Louis. Ron reviewed for us a part of … Continue reading
