Medicaid Program Recovery Audit Contractors Us Centers For Medicare And Medicaid Services Regulation Cms 2018 Edition
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Medicaid Program Recovery Audit Contractors Us Centers For Medicare And Medicaid Services Regulation Cms 2018 Edition
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Author : The Law The Law Library
language : en
Publisher: Createspace Independent Publishing Platform
Release Date : 2018-06-16
Medicaid Program Recovery Audit Contractors Us Centers For Medicare And Medicaid Services Regulation Cms 2018 Edition written by The Law The Law Library and has been published by Createspace Independent Publishing Platform this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-06-16 with categories.
Medicaid Program - Recovery Audit Contractors (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) The Law Library presents the complete text of the Medicaid Program - Recovery Audit Contractors (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition). Updated as of May 29, 2018 This final rule implements section 6411 of the Patient Protection and Affordable Care Act (the Affordable Care Act), and provides guidance to States related to Federal/State funding of State start-up, operation and maintenance costs of Medicaid Recovery Audit Contractors (Medicaid RACs) and the payment methodology for State payments to Medicaid RACs. This rule also directs States to assure that adequate appeal processes are in place for providers to dispute adverse determinations made by Medicaid RACs. Lastly, the rule directs States to coordinate with other contractors and entities auditing Medicaid providers and with State and Federal law enforcement agencies. This book contains: - The complete text of the Medicaid Program - Recovery Audit Contractors (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) - A table of contents with the page number of each section
The Medicare Recovery Audit Contractor Program
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Author : Duane C. Abbey
language : en
Publisher: CRC Press
Release Date : 2017-11-15
The Medicare Recovery Audit Contractor Program written by Duane C. Abbey and has been published by CRC Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-11-15 with Business & Economics categories.
Medicare fraud is big business, but while only a few profit from intentional malfeasance, the Centers for Medicare and Medicaid Services is now taking a closer look at everyone. The Medicare Recovery Audit Contractor Program, already infamously known as the RAC, swings into full operation in 2010 and every healthcare provider that receives payment
Medicare Recovery Audit Contracting
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Author : Kathleen M. King
language : en
Publisher: DIANE Publishing
Release Date : 2010-08
Medicare Recovery Audit Contracting written by Kathleen M. King and has been published by DIANE Publishing this book supported file pdf, txt, epub, kindle and other format this book has been release on 2010-08 with Health & Fitness categories.
The Centers for Medicare & Medicaid Services (CMS) conducted a three-year project to demonstrate the use of recovery audit contractors (RAC) in identifying Medicare improper payments and recouping overpayments. This report examined issues that arose during the demonstration project and CMS¿s efforts to address them in the national RAC program. It examines the extent to which CMS: (1) developed a process and took corrective actions to address vulnerabilities identified by the RACs that led to improper payments; (2) resolved coordination issues between the RACs and the Medicare claims admin. contractors; and (3) established methods to oversee RAC claim review accuracy and provider service during the national program. Charts and tables.
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Author :
language : en
Publisher:
Release Date : 2006
written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2006 with categories.
Fraud Detection Systems Centers For Medicare And Medicaid Services Needs To Ensure More Widespread Use
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Author : Valerie C. Melvin
language : en
Publisher: DIANE Publishing
Release Date : 2012-10-07
Fraud Detection Systems Centers For Medicare And Medicaid Services Needs To Ensure More Widespread Use written by Valerie C. Melvin and has been published by DIANE Publishing this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-10-07 with Health & Fitness categories.
Medicare Recovery Audit Contracting
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Author : United States. Government Accountability Office
language : en
Publisher:
Release Date : 2010
Medicare Recovery Audit Contracting written by United States. Government Accountability Office and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2010 with Government contractors categories.
The Centers for Medicare & Medicaid Services (CMS) conducted a mandated 3-year project from March 2005 through March 2008 to demonstrate the use of recovery audit contractors (RAC) in identifying Medicare improper payments and recouping overpayments. CMS implemented a mandated national RAC program, which began in March 2009. GAO was asked to examine specific issues that arose during the demonstration project and CMS's efforts to address them in the national RAC program. This report examines the extent to which CMS (1) developed a process and took corrective actions to address vulnerabilities identified by the RACs that led to improper payments, (2) resolved coordination issues between the RACs and the Medicare claims administration contractors, and (3) established methods to oversee RAC claim review accuracy and provider service during the national program. GAO reviewed CMS documents and interviewed officials from CMS and contractors and provider groups affected by the demonstration project.
Medicare And Medicaid Programs Home Health Prospective Payment System Rate Update Cy 2015 Home Health Quality Reporting Requirements Us Centers For Medicare And Medicaid Services Regulation Cms 2018 Edition
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Author : The Law The Law Library
language : en
Publisher: Createspace Independent Publishing Platform
Release Date : 2018-07-05
Medicare And Medicaid Programs Home Health Prospective Payment System Rate Update Cy 2015 Home Health Quality Reporting Requirements Us Centers For Medicare And Medicaid Services Regulation Cms 2018 Edition written by The Law The Law Library and has been published by Createspace Independent Publishing Platform this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-07-05 with categories.
Medicare and Medicaid Programs - Home Health Prospective Payment System Rate Update, CY 2015 - Home Health Quality Reporting Requirements (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) The Law Library presents the complete text of the Medicare and Medicaid Programs - Home Health Prospective Payment System Rate Update, CY 2015 - Home Health Quality Reporting Requirements (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition). Updated as of May 29, 2018 This final rule updates Home Health Prospective Payment System (HH PPS) rates, including the national, standardized 60-day episode payment rates, the national per-visit rates, and the non-routine medical supply (NRS) conversion factor under the Medicare prospective payment system for home health agencies (HHAs), effective for episodes ending on or after January 1, 2015. As required by the Affordable Care Act, this rule implements the second year of the four-year phase-in of the rebasing adjustments to the HH PPS payment rates. This rule provides information on our efforts to monitor the potential impacts of the rebasing adjustments and the Affordable Care Act mandated face-to-face encounter requirement. This rule also implements: Changes to simplify the face-to-face encounter regulatory requirements; changes to the HH PPS case-mix weights; changes to the home health quality reporting program requirements; changes to simplify the therapy reassessment timeframes; a revision to the Speech-Language Pathology (SLP) personnel qualifications; minor technical regulations text changes; and limitations on the reviewability of the civil monetary penalty provisions. Finally, this rule also discusses Medicare coverage of insulin injections under the HH PPS, the delay in the implementation of the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM), and a HH value-based purchasing (HH VBP) model. This book contains: - The complete text of the Medicare and Medicaid Programs - Home Health Prospective Payment System Rate Update, CY 2015 - Home Health Quality Reporting Requirements (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) - A table of contents with the page number of each section
Handbook Of Home Health Care Administration
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Author : Harris
language : en
Publisher: Jones & Bartlett Publishers
Release Date : 2015-10
Handbook Of Home Health Care Administration written by Harris and has been published by Jones & Bartlett Publishers this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015-10 with Medical categories.
Professional reference for Nurses on Home Health Care
Documentation And Reimbursement For Speech Language Pathologists
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Author : Nancy Swigert
language : en
Publisher: Taylor & Francis
Release Date : 2024-06-01
Documentation And Reimbursement For Speech Language Pathologists written by Nancy Swigert and has been published by Taylor & Francis this book supported file pdf, txt, epub, kindle and other format this book has been release on 2024-06-01 with Medical categories.
Although it is the least noticed by patients, effective documentation is one of the most critical skills that speech-language pathologists must learn. With that in mind, Documentation and Reimbursement for Speech-Language Pathologists: Principles and Practiceprovides a comprehensive guide to documentation, coding, and reimbursement across all work settings. The text begins with section 1 covering the importance of documentation and the basic rules, both ethical and legal, followed by an exploration of the various documentation forms and formats. Also included are tips on how to use electronic health records, as well as different coding systems for diagnosis and for procedures, with an emphasis on the link between coding, reimbursement, and the documentation to support reimbursement. Section 2 explains the importance of focusing on function in patient-centered care with the ICF as the conceptual model, then goes on to cover each of the types of services speech-language pathologists provide: evaluation, treatment planning, therapy, and discharge planning. Multiple examples of forms and formats are given for each. In section 3, Nancy Swigert and her expert team of contributors dedicate each chapter to a work setting in which speech-language pathologists might work, whether adult or pediatric, because each setting has its own set of documentation and reimbursement challenges. And since client documentation is not the only kind of writing done by speech-language pathologists, a separate chapter on “other professional writing” includes information on how to write correspondence, avoid common mistakes, and even prepare effective PowerPoint presentations. Each chapter in Documentation and Reimbursement for Speech-Language Pathologists contains activities to apply information learned in that chapter as well as review questions for students to test their knowledge. Customizable samples of many types of forms and reports are also available. Included with the text are online supplemental materials for faculty use in the classroom. Documentation and Reimbursement for Speech-Language Pathologists: Principles and Practice is the perfect text for speech-language pathology students to learn these vital skills, but it will also provide clinical supervisors, new clinicians, and speech-language pathologists starting a private practice or managing a department with essential information about documentation, coding, and reimbursement.
Preventing And Recovering Medicare Payment Errors
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Author : United States. Congress. Senate. Committee on Homeland Security and Governmental Affairs. Subcommittee on Federal Financial Management, Government Information, Federal Services, and International Security
language : en
Publisher:
Release Date : 2011
Preventing And Recovering Medicare Payment Errors written by United States. Congress. Senate. Committee on Homeland Security and Governmental Affairs. Subcommittee on Federal Financial Management, Government Information, Federal Services, and International Security and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011 with Law categories.