Posts Tagged ‘DCS’
Monday, January 18th, 2010
HealthDataInsights (HDI) posted on their website 66 new approved issues for review in just the first week of 2010. These latest issues all pertain to Medicare Severity Diagnosis Related Group (MS-DRG) coding and DRG validation. Read more »
Tags: A4221, Anesthesia, CI, Connolly, DCS, DMEPOS, E/M, HDI, HealthDataInsights, infusion pumps, Medicare, modifier 26, Part A, Part B, PC, PEN, Prosthetics, RAC, SNF, TC
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Monday, November 2nd, 2009
Recovery Audit Contractors (RAC) HealthDataInsights (HDI) and CGI Federal have added to their list of new issues eligible for review as per the Centers for Medicare & Medicaid Services (CMS).
The RAC program, mandated by the Tax Relief and Health Care Act of 2006, is being implemented in 2010 to detect and correct past improper Medicare payments.
Tip: Don’t wait until Jan. 1, 2010 to review these new issues and correct any problems your outpatient hospital or physician practice may uncover. Read more »
Tags: CGI, CMS, Connolly, DCS, HDI, Knee Orthotic, Medicare, Neulasta, once in a lifetime proceudres, orthotic knee, RAC, untimed codes, urological bundling, wheelchair
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Monday, October 5th, 2009
Connolly Healthcare, recovery audit contractor (RAC) for region C, recently updated its list of audit issues approved by the Centers for Medicare & Medicaid Services (CMS) and DCS Healthcare, region A RAC, posted new issues for the first time. The lists of issues under review give providers insight into what they should be looking for in their own internal audits. Read more »
Tags: Audit, brochoscopy, bundling, CGS, Cigna, DCS, DME, DME MAC, IV therapy, MAC, Neulasta, pharmacy, RAC, social work, transfusions, urologic, wheelchair
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Monday, August 17th, 2009
Gearing up for the 2010 implementation of the Recovery Audit Contractor (RAC) program, HealthDataInsights (HDI) and Connolly Healthcare are the first to post issues eligible for review.
The RAC program, mandated by the Tax Relief and Health Care Act of 2006, is being implemented to detect and correct past improper payments so that the Centers for Medicare & Medicaid Services (CMS), claims processing contractors, and providers can take action to prevent future improper payments. Read more »
Tags: Audit, blood transfusion, bronchoscopy, CGI, CMS, Connolly, DCS, HDI, HealthDataInsights, IV hydration therapy, J2505, pediatric codes, RAC, untimed codes
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Wednesday, February 11th, 2009
The Centers for Medicare & Medicaid Services (CMS) announced Feb. 6 that the permanent Recovery Audit Contractor (RAC) program is set to begin March 1. The bidding protests filed by Viant, Inc. and PRG Schultz, USA, Inc., which caused a Stop Work order in October 2008, are resolved.
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Tags: audits, CGI, CMS, Connolly, DCS, HealthDataInsights, hhs, MAC, MMA, PRG, RAC, recovery audits, Region B, Region C, Regiona A, Regiona D, resource audits, Viant
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