Tag:
Medical Necessity
Latest Headlines
Latest Headlines
Medical necessity contentions are fueling more RAC denials
Hospitals reported $167 million worth of claims denied by Medicare Recovery Audit Contractors between the first quarter of 2010 and the first quarter of this year, although in many instances the
UnitedHealth's Ingenix to buy Executive Health Resources, make FQHC version of CareTracker EHR
It's been a busy last couple of weeks for Ingenix. As you may have read last week in FierceHealthcare , Ingenix, the health IT subsidiary of UnitedHealth Group ( NYSE: UNH ), on Wednesday announced
SPOTLIGHT: Documentation, evidence-based admission guidelines help hospitals fight payer audits
Post-payment audits by Medicare and private insurers often look at the medical necessity of admitting patients through hospital emergency departments and find that many patients should have been held
HFMA ANI 2009: News and advice from the RAC front
It's not enough that Medicare's Recovery Audit Contractor program is going into full swing --CMS is also making some changes as it steams into its national rollout. Here's an update on some of the
