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RAC Alert: How to Bill Medicare for Hospice Patients When You Are Not the Hospice Provider

by Abraham Whaley | Jan 20, 2013 | Collections, Billing & Coding, Compliance, Day-to-Day Operations, Medicare & Reimbursement

What is Hospice? Hospice care focuses on improving the quality of life for persons and their families faced with a life-limiting illness. The primary goals of hospice care are to provide comfort, relieve physical, emotional, and spiritual suffering, and promote the...

Faced a RAC Recovery Audit? Take Frank Cohen’s Survey!

by Abraham Whaley | Sep 13, 2012 | Collections, Billing & Coding, Compliance, Finance, General, Medicare & Reimbursement

If you have, please consider taking a few minutes to fill out the post-Audit survey being compiled and made available free by the Frank Cohen Group. This is the last week the survey is being offered, so hurry! “Just a reminder that the RAC audits and appeals...

RAC Prepayment Reviews – the Game is Changing: CMS Provider Call on August 9th

by Mary Pat Whaley | Aug 8, 2012 | Collections, Billing & Coding, Compliance, Medicare & Reimbursement

Medicare Fee-For-Service Recovery Auditor Prepayment Review Demonstration Thursday, August 9, 2012 2:00PM – 4:00PM ET Conference Call Only The Centers for Medicare & Medicaid Services (CMS) will hold a Special Open Door Forum (ODF) to discuss the recently approved...

The Cohen Report: Analysis and “Quickinar” of the NCCI 17.1 Changes Effective April 1, 2011

by Mary Pat Whaley | Mar 17, 2011 | Medicare & Reimbursement, The Cohen Report (NCCI & RVUs)

There are 11,831 new edit pairs, which pushes the total for effective edits to 709,527.  There were 346 terminations for a net gain of 11,485.  In this release, we find that there are around 350 edit pairs that have termination and/or effective dates retroactive to an...

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