Claims Audits

Webinar Replay - Using Tracking and Analysis to Improve Compliance and Reimbursement Outcomes

This webcast will demonstrate how your facility will benefit from the value of an end-to-end claims audit tracking and analysis systems. You will learn how such a system can increase your facility's compliance while reducing errors, and — most importantly — allow your hospital to protect its reimbursements.

Understanding MS-DRG Grouping under ICD-10

Rayellen Kishbach's picture

Now that ICD-10 is in full swing, we are seeing a lot of activity with providers, payers, consultants and regulators who need to understand how Acute Inpatient and Long Term Care Hospital claims "behave" when the claim is coded in ICD-10. This includes both prospective and retrospective review of claims scenarios to understand MS-DRG grouping. This article offers a basic primer on MS-DRG grouping logic, and research techniques for using related MediRegs Coding Suite tools.

Webinar Replay: Hacking Healthcare – Real World Healthcare Security Exposures from Penetration Tests

Many healthcare organizations make assumptions about their IT security capabilities without ever testing whether these assumptions are valid. Hackers and cyber criminals take advantage of vulnerabilities to gain unauthorized access to systems containing patient data. Penetration testing, also sometimes referred to as “ethical hacking,” safely exposes any weaknesses and allows the organization to remediate control gaps before hackers take advantage of existing vulnerabilities.



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