Blogs

Getting Familiar with State Sanction Screening Obligations (Webinar Replay)

Click here to see a replay of the Getting Familiar with State Sanction Screening Obligations Webinar and gain a better understanding of 2012 CPT changes as we cover the following topics: Healthcare providers, as a Condition of Participation, must screen all those with whom they employ or contract with against published sanction data.

ICD-10 MS-DRG Pilot Grouper Testing

The PILOT MS-DRG Grouper is available now in the following MediRegs products: Compliance & Regulation Suite, Audit & Revenue Resource Center and Coding & Revenue Resource Center.  On the left-hand navigation pane, under Lookup and Payment Tools, notice 2 different links; the pilot version is marked "ICD-10", and it should be understood that this logic is for testing and predicting.  Use the original grouper for current year ICD-9 grouping logic.

OPPS Final Rule Review (Webinar Replay)

Click Here to view a replay of OPPS Final Rule Review Webinar. This session will prepare hospital staff for compliance with Medicare outpatient billing guidelines in 2012 by reviewing the key provisions of the Medicare Outpatient Prospective Payment System (OPPS) Final Rule. The session will discuss and summarize 2012 Medicare payment policy and billing guideline changes for hospitals.

Make Way For The Medicaid RACs: CMS Announces Implementation Date

On January 1, 2012, the Centers for Medicare & Medicaid Services (CMS) will officially implement the Medicaid recovery audit contractor (RAC) program—a very close cousin to the Medicare RAC program. Those states that haven’t already done so, and there are several that have, must hire Medicaid RACs to perform post-payment claim reviews and then identify and recover improper payments.
 

How to Avoid Penalties by Understanding and Reducing Your Hospital Readmission Rates (Webinar Replay)

Click Here to view a replay of the How to Avoid Penalties by Understanding and Reducing Your Hospital Readmission Rates webinar. The CMS readmission penalty is up to 1% of all Medicare IPPS payments in FFY 2013 climbing to 3% in 2015. Hospitals with higher readmission performance as compared to expected readmissions will face millions in lost payments.

Easing the Information Security Compliance Burden for Health Care (Webinar Replay)

Click Here to view a replay of the Easing the Information Security Compliance Burden for Health Care webinar. This webinar will cover the massive Health Care IT transformation currently underway and how this impacts health care information security compliance. Feisal will cover Health Care IT Audit / Compliance requirements, security and mapping security to various compliance requirements. Review the compelling needs for using a framework to manage the process and a strategy for executing within the framework.

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