Responding to a Recovery Audit Contractor (Rac) Evaluation

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Author :
Publisher : American Health Information Management Association
ISBN 13 : 9781584262350
Total Pages : 145 pages
Book Rating : 4.2/5 (623 download)

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Book Synopsis Responding to a Recovery Audit Contractor (Rac) Evaluation by : Donna D. Wilson

Download or read book Responding to a Recovery Audit Contractor (Rac) Evaluation written by Donna D. Wilson and published by American Health Information Management Association. This book was released on 2010-01-01 with total page 145 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Medicare Recovery Audit Contractor Program

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Author :
Publisher : CRC Press
ISBN 13 : 1439857415
Total Pages : 139 pages
Book Rating : 4.4/5 (398 download)

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Book Synopsis The Medicare Recovery Audit Contractor Program by : Duane C. Abbey

Download or read book The Medicare Recovery Audit Contractor Program written by Duane C. Abbey and published by CRC Press. This book was released on 2017-11-15 with total page 139 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare fraud is big business, but while only a few profit from intentional malfeasance, the Centers for Medicare and Medicaid Services is now taking a closer look at everyone. The Medicare Recovery Audit Contractor Program, already infamously known as the RAC, swings into full operation in 2010 and every healthcare provider that receives payment

Medicare Recovery Audit Contracting

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Author :
Publisher : DIANE Publishing
ISBN 13 : 1437931669
Total Pages : 52 pages
Book Rating : 4.4/5 (379 download)

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Book Synopsis Medicare Recovery Audit Contracting by : Kathleen M. King

Download or read book Medicare Recovery Audit Contracting written by Kathleen M. King and published by DIANE Publishing. This book was released on 2010-08 with total page 52 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Centers for Medicare & Medicaid Services (CMS) conducted a three-year project to demonstrate the use of recovery audit contractors (RAC) in identifying Medicare improper payments and recouping overpayments. This report examined issues that arose during the demonstration project and CMS¿s efforts to address them in the national RAC program. It examines the extent to which CMS: (1) developed a process and took corrective actions to address vulnerabilities identified by the RACs that led to improper payments; (2) resolved coordination issues between the RACs and the Medicare claims admin. contractors; and (3) established methods to oversee RAC claim review accuracy and provider service during the national program. Charts and tables.

Health Care Finance and the Mechanics of Insurance and Reimbursement

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Author :
Publisher : Jones & Bartlett Learning
ISBN 13 : 1284259293
Total Pages : 358 pages
Book Rating : 4.2/5 (842 download)

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Book Synopsis Health Care Finance and the Mechanics of Insurance and Reimbursement by : Michael K. Harrington

Download or read book Health Care Finance and the Mechanics of Insurance and Reimbursement written by Michael K. Harrington and published by Jones & Bartlett Learning. This book was released on 2023-07 with total page 358 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health Care Finance and the Mechanics of Insurance and Reimbursement combines financial principles unique to the health care setting with the methods and process for reimbursement (including coding, reimbursement strategies, compliance, financial reporting, case mix index, and external auditing). It explains the revenue cycle, correlating it with regular management functions; and covers reimbursement from the initial point of care through claim submission and reconciliation. Updated throughout the Third Edition offers expanded material on financial statements; new and expanded Skilled Nursing Facility examples; and enhanced sections on PDPM, Practice Management for Primary Care and other Specialties, Clearinghouse Processes, Predictive Modeling (data mining), and more. Key Features: - Thoroughly covers the methods and process for reimbursement including coding, reimbursement strategies, compliance, financial reporting, case mix index, and external auditing - Prepares health administration and health information management students with the necessary tools to successfully transition from the classroom to the health care facility. - Addresses all the new characteristics of the accounting authorities that the health care administrator will have to deal with after the COVID-19 Pandemic. - Includes a full chapter on the ACA that addresses recent and anticipated future changes that could impact not only the patient but the various health care organizations that provide care in the inpatient and outpatient settings.

Program Integrity

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Author :
Publisher :
ISBN 13 :
Total Pages : 80 pages
Book Rating : 4.:/5 (319 download)

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Book Synopsis Program Integrity by : United States. Congress. Senate. Committee on Finance

Download or read book Program Integrity written by United States. Congress. Senate. Committee on Finance and published by . This book was released on 2013 with total page 80 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Eliminating Waste and Fraud in Medicare and Medicaid

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Author :
Publisher :
ISBN 13 :
Total Pages : 136 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Eliminating Waste and Fraud in Medicare and Medicaid by : United States. Congress. Senate. Committee on Homeland Security and Governmental Affairs. Subcommittee on Federal Financial Management, Government Information, Federal Services, and International Security

Download or read book Eliminating Waste and Fraud in Medicare and Medicaid written by United States. Congress. Senate. Committee on Homeland Security and Governmental Affairs. Subcommittee on Federal Financial Management, Government Information, Federal Services, and International Security and published by . This book was released on 2009 with total page 136 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Preventing and Recovering Medicare Payment Errors

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Publisher :
ISBN 13 :
Total Pages : 172 pages
Book Rating : 4.:/5 (318 download)

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Book Synopsis Preventing and Recovering Medicare Payment Errors by : United States. Congress. Senate. Committee on Homeland Security and Governmental Affairs. Subcommittee on Federal Financial Management, Government Information, Federal Services, and International Security

Download or read book Preventing and Recovering Medicare Payment Errors written by United States. Congress. Senate. Committee on Homeland Security and Governmental Affairs. Subcommittee on Federal Financial Management, Government Information, Federal Services, and International Security and published by . This book was released on 2011 with total page 172 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Medicare Recovery Audit Contractor Program

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Author :
Publisher : CRC Press
ISBN 13 : 1439821011
Total Pages : 124 pages
Book Rating : 4.4/5 (398 download)

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Book Synopsis The Medicare Recovery Audit Contractor Program by : Duane C. Abbey

Download or read book The Medicare Recovery Audit Contractor Program written by Duane C. Abbey and published by CRC Press. This book was released on 2017-11-15 with total page 124 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare fraud is big business, but while only a few profit from intentional malfeasance, the Centers for Medicare and Medicaid Services is now taking a closer look at everyone. The Medicare Recovery Audit Contractor Program, already infamously known as the RAC, swings into full operation in 2010 and every healthcare provider that receives payment

The Compliance Officer's Handbook

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Author :
Publisher : HC Pro, Inc.
ISBN 13 : 1601465637
Total Pages : 133 pages
Book Rating : 4.6/5 (14 download)

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Book Synopsis The Compliance Officer's Handbook by : Robert A. Wade

Download or read book The Compliance Officer's Handbook written by Robert A. Wade and published by HC Pro, Inc.. This book was released on 2009-04 with total page 133 pages. Available in PDF, EPUB and Kindle. Book excerpt: The tools and information you need to lead a comprehensive compliance program. This revised edition is packed with even more practical tools, case studies, tips and tools, sample audits, and sample policies and procedures to help you construct a comprehensive program and meet new regulatory and industry requirements. All of these tools and strategies have been created, tested, and proven by professionals in the field.

Medicare Mismanagement: Oversight of the Federal Government Effort to Recapture Misspent Funds, Serial No. 113-136, May 20, 2014, 113-2 Hrg

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Author :
Publisher :
ISBN 13 :
Total Pages : 128 pages
Book Rating : 4.F/5 ( download)

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Book Synopsis Medicare Mismanagement: Oversight of the Federal Government Effort to Recapture Misspent Funds, Serial No. 113-136, May 20, 2014, 113-2 Hrg by :

Download or read book Medicare Mismanagement: Oversight of the Federal Government Effort to Recapture Misspent Funds, Serial No. 113-136, May 20, 2014, 113-2 Hrg written by and published by . This book was released on 2014 with total page 128 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Health Insurance Today - E-Book

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 0323262449
Total Pages : 557 pages
Book Rating : 4.3/5 (232 download)

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Book Synopsis Health Insurance Today - E-Book by : Janet I. Beik

Download or read book Health Insurance Today - E-Book written by Janet I. Beik and published by Elsevier Health Sciences. This book was released on 2014-08-06 with total page 557 pages. Available in PDF, EPUB and Kindle. Book excerpt: Key coverage of new topics includes medical identity theft and prevention, National Quality Forum (NQF) patient safety measures, ACSX12 Version 5010 HIPAA transaction standards, EMS rule on mandatory electronic claims submission, and standards and implementation specifications for electronic health record technology. Increased emphasis on producing and submitting claims electronically gives you an edge in today’s competitive job market. UPDATED! Additional ICD-10 coding content prepares you for the upcoming switch to the new coding system. NEW! Content on ARRA, HI-TECH, and the Health Insurance Reform Act ensures you are familiar with the latest health care legislation and how it impacts what you do on the job.

Medicare Fraud, Waste, and Abuse: Challenges and Strategies for Preventing Improper Payments

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Author :
Publisher : DIANE Publishing
ISBN 13 : 1437935001
Total Pages : 15 pages
Book Rating : 4.4/5 (379 download)

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Book Synopsis Medicare Fraud, Waste, and Abuse: Challenges and Strategies for Preventing Improper Payments by : Kathleen M. King

Download or read book Medicare Fraud, Waste, and Abuse: Challenges and Strategies for Preventing Improper Payments written by Kathleen M. King and published by DIANE Publishing. This book was released on 2010-10 with total page 15 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare¿s size and complexity make it vulnerable to fraud, waste, and abuse. Fraud represents intentional acts of deception with knowledge that the action or representation could result in an inappropriate gain, while abuse represents actions inconsistent with acceptable bus. or med. practices. Waste, which includes inaccurate payments for services, also occurs in the Medicare program. In 2009, the Centers for Medicare and Medicaid Services (CMS) estimated billions of dollars in improper payments in the Medicare program. This statement focuses on challenges facing CMS and selected key strategies that are particularly important to helping prevent fraud, waste, and abuse, and ultimately to reducing improper payments. Illustrations.

Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations for Fiscal Year 2017

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Author :
Publisher :
ISBN 13 :
Total Pages : 866 pages
Book Rating : 4.3/5 ( download)

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Book Synopsis Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations for Fiscal Year 2017 by : United States. Congress. Senate. Committee on Appropriations. Subcommittee on Departments of Labor, Health and Human Services, Education, and Related Agencies

Download or read book Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations for Fiscal Year 2017 written by United States. Congress. Senate. Committee on Appropriations. Subcommittee on Departments of Labor, Health and Human Services, Education, and Related Agencies and published by . This book was released on 2017 with total page 866 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Health Insurance Today

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 1455708194
Total Pages : 509 pages
Book Rating : 4.4/5 (557 download)

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Book Synopsis Health Insurance Today by : Janet I. Beik

Download or read book Health Insurance Today written by Janet I. Beik and published by Elsevier Health Sciences. This book was released on 2013 with total page 509 pages. Available in PDF, EPUB and Kindle. Book excerpt: With an emphasis on preparing and filing claims electronically, Health Insurance Today, 4th Edition features completely updated content on ICD-10 coding, ARRA, HI-TECH, Version 5010, electronic health records, the Health Insurance Reform Act, and more. The friendly writing style and clear learning objectives help you understand and retain important information, with review questions and activities that encourage critical thinking and practical application of key concepts.

Social Work Specialty Review and Study Guide

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Author :
Publisher : StatPearls Publishing, LLC
ISBN 13 :
Total Pages : 3554 pages
Book Rating : 4./5 ( download)

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Book Synopsis Social Work Specialty Review and Study Guide by : Timothy Powers

Download or read book Social Work Specialty Review and Study Guide written by Timothy Powers and published by StatPearls Publishing, LLC. This book was released on 2015-09-25 with total page 3554 pages. Available in PDF, EPUB and Kindle. Book excerpt: Includes: Multiple choice fact, scenario and case-based questions Correct answers and explanations to help you quickly master specialty content All questions have keywords linked to additional online references The mission of StatPearls Publishing is to help you evaluate and improve your knowledge base. We do this by providing high quality, peer-reviewed, educationally sound questions written by leading educators. StatPearls Publishing

Leveraging Data in Healthcare

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Author :
Publisher : CRC Press
ISBN 13 : 1498757731
Total Pages : 215 pages
Book Rating : 4.4/5 (987 download)

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Book Synopsis Leveraging Data in Healthcare by : Rebecca Mendoza Saltiel Busch

Download or read book Leveraging Data in Healthcare written by Rebecca Mendoza Saltiel Busch and published by CRC Press. This book was released on 2016-01-05 with total page 215 pages. Available in PDF, EPUB and Kindle. Book excerpt: The healthcare industry is in a state of accelerated transition. The proliferation of data and its assimilation, access, use, and security are ever-increasing challenges. Finding ways to operationalize business and clinical data management in the face of government and market mandates is enough to keep most chief officers up at night! Leveraging Data in Healthcare: Best Practices for Controlling, Analyzing, and Using Data argues that the key to survival for any healthcare organization in today’s data-saturated market is to fundamentally redefine the roles of chief information executives—CIOs, CFOs, CMIOs, CTOs, CNIOs, CTOs and CDOs—from suppliers of data to drivers of data intelligence. This book presents best practices for controlling, analyzing, and using data. The elements of preparing an actionable data strategy are exemplified on subjects such as revenue integrity, revenue management, and patient engagement. Further, the book illustrates how to operationalize the electronic integration of health and financial data within patient financial services, information management services, and patient engagement activities. An integrated environment will activate a data-driven intelligent decision support infrastructure. The increasing impact of consumer engagement will continue to affect the organization’s bottom line. Success in this new world will need collaboration among the chiefs, users, and data creators.

New Tools for Curbing Waste and Fraud in Medicare and Medicaid

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Author :
Publisher :
ISBN 13 :
Total Pages : 152 pages
Book Rating : 4.:/5 (318 download)

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Book Synopsis New Tools for Curbing Waste and Fraud in Medicare and Medicaid by : United States. Congress. Senate. Committee on Homeland Security and Governmental Affairs. Subcommittee on Federal Financial Management, Government Information, Federal Services, and International Security

Download or read book New Tools for Curbing Waste and Fraud in Medicare and Medicaid written by United States. Congress. Senate. Committee on Homeland Security and Governmental Affairs. Subcommittee on Federal Financial Management, Government Information, Federal Services, and International Security and published by . This book was released on 2011 with total page 152 pages. Available in PDF, EPUB and Kindle. Book excerpt: