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Responding To A Recovery Audit Contractor Rac Evaluation

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Responding To A Recovery Audit Contractor Rac Evaluation

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Author : Donna D. Wilson
language : en
Publisher: American Health Information Management Association
Release Date : 2010-01-01

Responding To A Recovery Audit Contractor Rac Evaluation written by Donna D. Wilson and has been published by American Health Information Management Association this book supported file pdf, txt, epub, kindle and other format this book has been release on 2010-01-01 with Medical categories.

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.

Health Care Finance And The Mechanics Of Insurance And Reimbursement

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Author : Michael K. Harrington
language : en
Publisher: Jones & Bartlett Learning
Release Date : 2023-07

Health Care Finance And The Mechanics Of Insurance And Reimbursement written by Michael K. Harrington and has been published by Jones & Bartlett Learning this book supported file pdf, txt, epub, kindle and other format this book has been release on 2023-07 with Business & Economics categories.

Health Care Finance and the Mechanics of Insurance and Reimbursement combines financial principles unique to the health care setting with the methods and process for reimbursement (including coding, reimbursement strategies, compliance, financial reporting, case mix index, and external auditing). It explains the revenue cycle, correlating it with regular management functions; and covers reimbursement from the initial point of care through claim submission and reconciliation. Updated throughout the Third Edition offers expanded material on financial statements; new and expanded Skilled Nursing Facility examples; and enhanced sections on PDPM, Practice Management for Primary Care and other Specialties, Clearinghouse Processes, Predictive Modeling (data mining), and more. Key Features: - Thoroughly covers the methods and process for reimbursement including coding, reimbursement strategies, compliance, financial reporting, case mix index, and external auditing - Prepares health administration and health information management students with the necessary tools to successfully transition from the classroom to the health care facility. - Addresses all the new characteristics of the accounting authorities that the health care administrator will have to deal with after the COVID-19 Pandemic. - Includes a full chapter on the ACA that addresses recent and anticipated future changes that could impact not only the patient but the various health care organizations that provide care in the inpatient and outpatient settings.

Program Integrity

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Author : United States. Congress. Senate. Committee on Finance
language : en
Publisher:
Release Date : 2013

Program Integrity written by United States. Congress. Senate. Committee on Finance and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013 with Government contractors categories.

Eliminating Waste And Fraud In Medicare And Medicaid

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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 : 2009

Eliminating Waste And Fraud In Medicare And Medicaid 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 2009 with Administrative agencies categories.

Preventing And Recovering Medicare Payment Errors

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.

Leveraging Data In Healthcare

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Author : Rebecca Mendoza Saltiel Busch
language : en
Publisher: CRC Press
Release Date : 2017-07-27

Leveraging Data In Healthcare written by Rebecca Mendoza Saltiel Busch and has been published by CRC Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-07-27 with Business & Economics categories.

The healthcare industry is in a state of accelerated transition. The proliferation of data and its assimilation, access, use, and security are ever-increasing challenges. Finding ways to operationalize business and clinical data management in the face of government and market mandates is enough to keep most chief officers up at night!Leveraging Dat

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 Mismanagement Oversight Of The Federal Government Effort To Recapture Misspent Funds Serial No 113 136 May 20 2014 113 2 Hrg

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Author :
language : en
Publisher:
Release Date : 2014

Medicare Mismanagement Oversight Of The Federal Government Effort To Recapture Misspent Funds Serial No 113 136 May 20 2014 113 2 Hrg written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014 with categories.

Health Insurance Today E Book

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Author : Janet I. Beik
language : en
Publisher: Elsevier Health Sciences
Release Date : 2014-08-06

Health Insurance Today E Book written by Janet I. Beik and has been published by Elsevier Health Sciences this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-08-06 with Medical categories.

Key coverage of new topics includes medical identity theft and prevention, National Quality Forum (NQF) patient safety measures, ACSX12 Version 5010 HIPAA transaction standards, EMS rule on mandatory electronic claims submission, and standards and implementation specifications for electronic health record technology. Increased emphasis on producing and submitting claims electronically gives you an edge in today’s competitive job market. UPDATED! Additional ICD-10 coding content prepares you for the upcoming switch to the new coding system. NEW! Content on ARRA, HI-TECH, and the Health Insurance Reform Act ensures you are familiar with the latest health care legislation and how it impacts what you do on the job.

Responding To A Recovery Audit Contractor Rac Evaluation

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