Auditing

Clinical care documentation that survives auditing

Clinical care documentation that survives auditing

Medicare claims set the stage for reimbursements - they're the cast. Backstage, however, documentation comprises the crew, supporting the claim and determining whether or not the show - the outcome of an audit - goes off without a hitch

RAC beats CMS on payment lawsuit appeal

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A federal appeals court last week ruled that the Centers for Medicare & Medicaid Services violated federal contracting regulations when it stretched out payment terms for recovery audit contractors.

June 3 Super Tuesday webinar: why you need to pay attention to PEPPER reports

June 3 Super Tuesday webinar: why you need to pay attention to PEPPER reports

Providers will learn how the government's PEPPER reports are connected to their facilities' health during a June 3 McKnight's Super Tuesday webcast. Featured speaker Leah Klusch, the executive director of the Alliance Training Center, will help attendees realize how these reports can affect their payments and affect operations.

CMS improperly measuring outcomes, report claims

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So far, some providers have been put through a wringer without enough verification that it's been worth it, according to a new Government Accountability Office report.

Nonprofit providers bear burden of more frequent compliance audits, survey finds

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Nonprofit healthcare providers are disproportionately targeted by outside compliance audits when compared to their for-profit counterparts, a new report asserts.