Claims Processing
If you were hoping that the transition to HIPAA 5010 and ICD10 would be easy, think again.
2009 was a dismal year, economically speaking - unless you were a health insurer.
Connolly Healthcare, the RAC for Region C, has posted 19 new approved issues for Complex Review on their RAC Issues page.
Providers in Florida have gotten used to all the jokes about our fine state, and in particular the one about the city of Miami being the epicenter, or ground zero, of Medicare fraud.
The Yale New Haven Health System has announced plans to automate the extraction of data from invoices throughout its three healthcare delivery networks.
The Baylor Health Care System, based in Dallas, has selected a vendor to manage the automated processing of nearly 300,000 invoices per year across its 12-hospital system.
The RAC Web sites are starting to post more information relating to the details of their complex review processes, to the benefit of providers everywhere.
In accordance with what Mike and Ed have previously pointed out on healthcare alliances, I, too, am utterly dismayed at the allegations of nefarious goings-on within these organizations.
You all may have heard the adage "delay doesn't mean denial," which is true in many life circumstances. Unfortunately, in the world of RACs, delay can mean denial: denials of claims that translate to cash lost.
As if we don't have enough on our plates with the RAC Medicare Program, our Medicaid revenue undoubtedly soon will be subjected to similar harsh scrutiny.