Posted by Jason Greis on May 11, 2009 under Articles | 
A California hospital recently challenged the decision of a Medicare recovery audit contractor (RAC), alleging that the RAC unlawfully reopened claims submitted by the hospital. Palomar Medical Center v. Johnson, S.D. Cal., No. 3:09-cv-00605-BEN-NLS (S.D. Cal. complaint filed 3/24/09). The case is the first since the inception of the Medicare RAC program to challenge the ability of RACs to reopen Medicare claims more than one year after payment, and its outcome will significantly affect the ability of hospitals to generally treat Medicare payments as final a year after receipt. Read More...
Tags: alj, greisguide, greisguidetoltachs, hospital, ltac, LTACH, LTCH, mac, mcguirewoods, medicare, palomar, PRG-Schultz, RAC, recovery audit contractor
Posted by Jason Greis on April 22, 2009 under Articles |
The Centers for Medicare & Medicaid Services (CMS) will be offering several informational sessions on the Recovery Audit Contractor (RAC) Program. Presenting with CMS will be the RAC for California, HealthDataInsights, Inc. These sessions will take place at the CMS San Francisco Regional Office located at 90 7th Street in San Francisco, California. Read More...
Tags: california, cms, greisguide, greisguidetoltachs, health data insights, hospital, jason greis, ltac, LTACH, LTCH, outreach, RAC, recovery audit contractor
Posted by Jason Greis on April 16, 2009 under eNewsletter |
This issue of the GreisGuide to LTACHs Newsletter contains articles and information on: Read More...
Tags: brian wells, bundling, Carol Burkhart, certificate of need, con, dubuis, ellen smith, georgia, greisguide, greisguidetoltachs, holy family medical center, hospital, jason greis, john baird, kissito, ltac, LTACH, LTCH, marsh, moratorium, newsletter, post-acute, principle pharmacy group, RAC, recovery audit contractor, sha, shortage, specialty hospitals of america, Stacey Donegan, tom clarke, william cash, William Hammock
Posted by Jason Greis on April 6, 2009 under Articles, Whitepapers |
This listserve is a continuation of a series of listserves updating McGuuireWoods healthcare clients on developments surrounding the Centers for Medicare and Medicaid Services (CMS) ,claims and activity Recovery Audit Contractors (RACs). Future updates will be available by completing McGuireWoods’ online sign-up form or by checking back on GreisGuidetoLTACHs. Read More...
Tags: brent rawlings, cms, elaine gilmer, elissa moore, greisguide, greisguidetoltachs, hospital, lainey, ltac, LTACH, LTCH, mcguirewoods, outreach, Provider Resources, RAC, recovery audit contractor, tom stallings, validation contractor, whitepaper
Posted by Jason Greis on March 27, 2009 under Articles, Whitepapers |
By Carol Burkhart, RN, MS, CNP, CPHRM, William Hammock, RN, BSN, CMC, ACM, and Stacey Donegan, CPC Read More...
Tags: AdvanceMed, Carol Burkhart, cms, demonstration project, greisguide, greisguidetoltachs, InterQual, jason greis, ltac, LTACH, LTCH, marsh, masspro, national medicare rac summit, RAC, recovery audit contractor, snf, Stacey Donegan, William Hammock, Wisconsin Physician Services, wps
Posted by Jason Greis on March 14, 2009 under Articles, Presentations |
I have attached a list of Frequently Asked Questions from the March 3, 2009 McGuireWoods and Marsh webinar presentation entitled “RACs are Here: Are You Prepared?” Many LTACHs listened in and asked questions regarding how to prepare for a RAC audit, how and when to respond to a RAC request for medical records or a demand letter, and how and when to appeal a RAC overpayment determination. Please also click here for a copy of the PowerPoint slides from the presentation. Read More...
Tags: .ppt, faq, frequently asked questions, greisguide, greisguidetolltachs, jason greis, ltac, LTACH, LTCH, marsh, mcguirewoods, powerpoint, RAC, recovery audit contractor, slideshow
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