THE SCOPE December 2012 “The Revenue Cycle Resource for “Keeping You In The Know!” AUTOMATED AWARENESS AND CMS UPDATE ISSUE AUTOMATED RAC REVIEWS With the sometimes never-ending volume of complex medical necessity denials for providers, some of the other issues such as complex coding and automated denials get lost in the shuffle. The fact of
THE SCOPE December 2012
THE SCOPE November 2012 
Recovery Auditor Prepayment Review Demo Prepare for Pre-Pay Audits... They
THE SCOPE November 2012
THE SCOPE “The Revenue Cycle Resource for “Keeping You In The Know!” APPEALS AND MEDICAID UPDATE ISSUE Medicare Appeals – A process For those of us who may not know, the appeals process is quickly being seen as a long treacherous road. Treacherous
Recovery Auditor Prepayment Review Demo
As Published in Though the Centers for Medicare & Medicaid Services website lists the start date as “Summer of 2012,” the delayed launch of the Centers for Medicare & Medicaid Services Recovery Auditor prepayment review demonstration has had no official announcement yet. With temperature records being broken by the hundreds, there’s no question that summer is in
The SCOPE – July 2012
Welcome to The SCOPE. This resource is for healthcare professionals staying abreast of issues related to audits, coding, case management, documentation improvement, and patient financial issues. Working as a team is crucial to survive in the current healthcare environment and we are here to help you get a step closer in communication, understanding, and support.
