An Update on the RACs Activities DRG Validation
This article highlights vulnerable areas that hospitals should take into consideration, along with specific tips for identifying problematic MS-DRGs.
Medicaid Integrity Contractor Reform: MAC, MIC, ZPIC,RAC
Providers should examine workflow and procedures. They should have an appeal team organized, plan internal routing, and educate their employees…
Recapping the RACs for the Upcoming Year
This article summarizes the RAC program, reviews the RACs activities in 2009, and provides guidance for dealing with the RACs…
Hospitals, Contractors, and Data Mining… What’s Next?
The Centers for Medicare & Medicaid Services’ (CMS) contractors use advanced data-analysis tools, such as data mining, to identify potential payment…