Test New This Week page

FRIDAY November 18, 2016:

“To Part B, or Not to Part B?
Is that really the question?”

or how do you decide
how to bill short stay strokes?

mel_collection1Get the Handouts

Sponsored by The Health Law Partners, MAS Coding Solutions

THIS WEEK, we have invited several working Physician Advisors to join us on the show to go over some suggestions that came up this week on the rac-relief Google Group listserv, and it was a great discussion, with lots of comments. So we are reviewing some of it and discussing it in what we hope is a helpful manner…

I’ll be posting more about who will be joining us, but I’ve already confirmed that Dr. Steven Meyerson will be on with us, so be sure to come listen in!

So… join us as we will be discussing these points:

  • HOW is risk as a factor in LOS expectations;
  • HOW risk maybe be seen differently based upon a Dx, especially one without presenting complications/comorbidities;
  • HOW documentation must support the clinician’s thought process used in decisions of treatment & plan of care (including various “scores”);
  • WHAT is the legal risk of an aggressive attitude in billing whereby patients are admitted by proxy based upon the comparatively (and deceptively false) low cost of denials (which takes into account that only 2% of all claims are reviewed, but fails to factor in the debilitating cost of extrapolation, FCA fines, et al).

So join us, share your own insights and bring your questions for us!

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UHC Announces following the 2-MN Rule 103.30 KB 58 downloads


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Moderators for the Show:

Ernie de los Santos, MBA, SSA, SAC — Faculty Chair at Appeal Academy

Sharon Easterling, MHA, RHIA, CCS, CDIP, CPHM, FAHIMA – Revenue Cycle & Appeals Expert and Auditor

William Malm, ND, RN, CMAS, CRCR – Practicing Clinician and Certified Medical Auditor

Stay tuned and listen in!





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