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    • “It Came From CMS”
    • What does Kathleen say?
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“Fun Stuff!”

We do have fun… you should really listen to our weekly webinars!


  • "Finally Friday" - Our new Theme Song for our Weekly Talk Show

    We knew this song was out there and finally came up with our own version… as sort of an “anthem” for folks in revenue cycle management.

  • "It Came from CMS" - Movie Trailer

    Produced to introduce the CMS FY2013 Inpatient Hospital Prospective Payment System Final Rule, especially the infamous “2-Midnight Rule”

  • "What does Kathleen Say?" - Musical Parody

    After the failure of Healthcare.gov and the continuing mess created by Medicare RACs, we all watch then-HHS Secretary Kathleen Sebelius get called on the carpet by Congress.

  • "Our Lips are Sealed" - Musical Parody

    After Kathleen Sebelius left HHS, the new Secretary Sylvia Burwell took over. We made this video after seeing the attitude of CMS leaders in interviews, hearings and other venues.

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  • Recently on Finally Friday!

    “Special Edition” Disruption in 2018: Providers & Payers


    “Finally Friday!” What Does Disruption in Healthcare Look Like?


    “Finally Friday!” Length of Stay: Is it still relevant in the age of value based care?


    “Finally Friday!” Unicorns, Dragons and Inpatient TKAs

  • Articles from Academy Blog

    The CMS Open Door Forum of Feb 27 2018 – Audio only

    The most interesting exchange is at 44:00 in…


    CMS limits of scope of MAC/QIO review for appeals

    “Scope Creep” in Appeals is Dead CMS has instructed MACs and QICs to limit their review to the reason(s) the claim or line item at issue was initially denied. For redeterminations and reconsiderations of claims denied following a complex prepayment review, a complex post-payment review, or an automated post-payment review by a contractor, Limiting the scope of review on redeterminations and reconsiderations of certain claims. MLN Matters Number SE1521.


    NEWS POLL Friday February 17 2017

    NEWS POLL Friday February 17 2017


    Nominee Tom Price Wants Shift Away from Medical Necessity Audits To Anti-Fraud Audits

    CMS should focus its billing audits less on verifying medical necessity and more on rooting out blatant fraud, the agency’s likely next secretary said Tuesday. Rep. Tom Price, R-Ga.

  • The Health Law Partners TV

    appeal academy | health law partners | medical audit
  • Recovery Analytics

    appeal academy | recovery analytics | medical audit
  • The Council for Certification of Medical Auditors (CCMA)


    appeal academy | ccma | cmas | medical audit
  • “It Came From CMS”

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