Tag Archives: recovery analytics

“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

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“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

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“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

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“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

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“Finally Friday!” Leveraging Technology for UR Best Practices

This session was broadcast on Friday, June 6, 2014. Clare Cermak, Implementation Training Consultant at Allscripts, teaches you the best ways she’s seen for how you can: Organize, Prioritize and Managing your day (Includes worklist functionality, flagging 2-Midnight Rule, Orders Verified, Next Review Date) … Continue reading

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“Finally Friday!” MAC Probes, AHA Lawsuits, and OIG Reports on E/M

Bill Malm of Craneware reviews some new OIG Reports, foreshadowing perhaps a flood of E/M Audits by CMS contractors. We also hear from Dr. Ron Hirsch of Accretive PAS about some of the insanity coming out of the MACs in Probe and Educate. Jessica Gustafson and Abby Pendleton from The Health Law Partners give us some legal perspective on the OIG postings, and a short review of the recent AHA filing of a mandamus complaint – a filing seeking a judicial remedy to require CMS to “meet statutory deadlines for administrative review of denials” for Medicare claims. Continue reading

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“Finally Friday!” Stent Case Appeals

This session was recorded on Friday, June 7, 2013. Today’s show includes expert tips from Dr. Steve Meyerson of Accretive PAS and Sharon Easterling of Recovery Analytics about recent problems many hospitals have been seeing with denials and appeals for … Continue reading

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“Finally Friday!” IP Part B Rebilling EXPLAINED

This session was recorded on Friday, May 31, 2013. Sharon Easterling of Recovery Analytics provides a series of examples of how to process rebilling Inpatient Part B for denied Part A claims, per the new IP Part B rebilling rules. … Continue reading

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“Finally Friday!” CMS Open Door Forum – Part B Rebilling

This session was recorded on Friday, May 17, 2013. Dr. Steven Meyerson of Accretive PAS joins me and Sharon Easterling of Recovery Analytics to discuss what we heard and DIDN’T hear on the recent CMS Open Door Forum (ODF). Also … Continue reading

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“Finally Friday!” Report & Workflow: IP Part B Rebilling

This session was recorded on Friday, May 10, 2013. Sharon Easterling of Recovery Analytics provides a workflow diagram to help you structure your processes for rebilling Inpatient Part B for denied Part A claims, per the new IP Part B … Continue reading

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