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Discussion of CMS Ruling 1455 – Part B Inpatient Rebilling – We were joined by Dr. Ron Hirsch, Sharon Easterling, and several hospitals asking questions. Includes talking points for getting your hospital ready for Part B Rebilling, flow charts of several scenarios on that subject, and a new free tool that helps you simulate the dates of all the appeals, rebilling deadlines, etc.
Discussion of Updates about CMS Ruling 1455 – Part B Inpatient Rebilling, as learned from the April 2 CMS ODF Conference Call – We were joined by Dr. Marilyn Palmer, Dr. Ron Hirsch, Sharon Easterling, and several hospitals asking questions. Includes many questions asked and answered about many of the “wrinkles” involved in this scenario.
More Updates about CMS Ruling 1455 – Part B Inpatient Rebilling. This day, we were joined by Steven Greenspan, JD LLM from EHR, Sharon Easterling, and a couple hospitals asking questions. More questions asked and answered about the “wrinkles” recently noted about the proposed and interim rules.
A review of the NEW RAC Statement of Work for 2013 — we found a copy of what was given to contractors for their bidding process, to secure the next 5-year contract as a CMS Medicare RAC. Includes copies of new SOW, 2011 SOW, slides, notes and RAW notes by Ernie de los Santos, giving a sort-off crosswalk from old to new SOW.
Attorney Amy Fehn, partner at Wachler & Associates, reviews seom recent activity out of the Miami ALJ offices, including some good advice on handling loss of the submitted medical records, and especially on dealing with ZPICs and denials involving extrapolation.