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

Y2K came and went, and it was quite a letdown for the "gloom and doomers." Amidst the hype, it seemed like Y2K would have a huge impact on many aspects of our daily lives, but the clock struck 12:01 on…

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…

A Nebraska bill that won first-round legislative approval would use recovery audit contractors to try to reduce costs for the state budget, according to a Bloomberg Businessweek report.

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.

The Centers for Medicare & Medicaid Services has requested to gauge provider readiness for 5010 and ICD-10 in an industry-wide survey, according to a Cardiovascular Business report.

ICD-10 will impact productivity of healthcare organizations on many levels, slowing the process of documentation, entering new codes and payor communication, according to an AAPC release.

Paul Spencer, compliance officer for Fi-Med Management, a physician practice financial management company based in Wauwatosa, Wis., lists eight actions hospitals should take to protect themselves against recovery audit contractors.

CMS recently issued guidance for hospitals on how to determine whether patients should be admitted and thus avoid recoupment by recovery audit contractors or denials by Medicare administrative contractors.