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More in Financial Management

On Oct. 1, 2013, ICD-10-CM (clinical modification) and ICD-10-PCS (procedural coding system) will be implemented into the HIPAA mandated code, increasing the number of codes from around 13,600 under ICD-9 to around 69,000 under ICD-10. Here are four predictions from…

In a new survey, 40 percent of healthcare compliance professionals said their budgets are increasing in 2011, partly due to stepped-up activity by recovery audit contractors as well as more regulatory oversight to come, according to a release by Compliance…

Elizabeth Lamkin, CEO of Pace Healthcare Consulting in Hilton Head, S.C., identifies three common coding problems that recovery audit contractors often identify.

Demands for necessary documentation of claims by recovery audit contractors can expose lack of alignment between a hospital and its on-staff physicians, according to a RAC Monitor column by Leo Paul D’Orazio. Hospital claims are based on medical records created…

Hospital need to restructure themselves to reduce claims denials by recovery audit contractors, says Elizabeth Lamkin, CEO of Pace Healthcare Consulting in Hilton Head, S.C. Here she offers nine ways to add or change committees, enhance reporting and create new…

Jennifer Colagiovanni, an attorney at Wachler & Associates in Royal Oak, Mich., makes the following four points for hospitals appealing decisions by recovery audit contractors.

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