10 results.
RAC Inpatient Coding Denials: Key Areas of Improper Payment in permanent program
Author: Wilson, Donna D
Source: Journal of AHIMA - Coding Notes
Publication Date: March 2012
The Recovery Audit Contractor (RAC) demonstration program found that "most of the overpayment amounts collected by the RACs (about 85 percent) were from inpatient hospital providers," and "almost half of the improper payments were the result of incorrect coding."1 Things have changed with....
OIG Compliance Program Guidance for Hospitals Update
Author: U.S. Department of Health and Human Services
Source: Federal Register
Publication Date: January 31, 2005
Journal Q&A (7/03)
Author: AHIMA Professional Practice Team
Source: AHIMA Q and A
Publication Date: July 02, 2003
Q: When is a new history and physical (H&P) needed when moving a patient between an acute care bed to a swing bed?
A: The key to determining when an H&P is needed is to find out how the swing bed is being used and the regulations that apply. Section 1883 of the Social Security Ac....
Journal Q&A (7/03)
Author: AHIMA Professional Practice Team
Source: AHIMA Q and A
Publication Date: July 02, 2003
Q: How can I find the Medicare manuals, program memorandums, and the Conditions of Participation on the new CMS Web site?
A: After the Health Care Financing Administration (HCFA) changed its name to CMS, it moved all its resources to its new site at www.cms.gov/manuals.
....
Hospital Manual
Author: U.S. Centers for Medicare & Medicaid Services
Source: Government (U.S.)
Publication Date: March 26, 2002
HCFA, Joint Commission Show Some Restraint
Author: Dougherty, Michelle
Source: Journal of AHIMA
Publication Date: May 2001
Hospitals and Behavioral Healthcare Settings
The 2001 Joint Commission standards on restraint and seclusion (TX.7.1 through TX.7.1.16) apply to all accredited behavioral healthcare facilities such as psychiatric units in general hospitals, free-standing psychiatric hospitals, and re....
Hospitals Interpretive Guidelines and Survey Procedures
Author: U.S. Centers for Medicare & Medicaid Services
Source: Government (U.S.)
Publication Date: June 02, 2000
AHIMA Census Results: Focus on Compliance
Author: Lorence, Daniel P.
Source: Journal of AHIMA
Publication Date: April 1999
The Office of the Inspector General (OIG) has instituted compliance guidelines for medical laboratories, hospitals, and home healthcare agencies. Within this framework, these guidelines provide at least some compliance direction for individual providers and group practices ....
OIG Releases Compliance Program Guidelines for Hospitals
Author: Prophet, Sue
Source: Journal of AHIMA
Publication Date: April 1998
On February 11, 1998, the Office of Inspector General (OIG) of the Department of Health and Human Services (HHS) released its Compliance Program Guidance for Hospitals. This document is intended to assist hospitals in developing corporate compliance programs that assure the establishment of e....
Office of Inspector General's Compliance Program Guidance for Hospitals
Author: U.S. Department of Health and Human Services. Office of the Inspector General
Source: Government (U.S.)
Publication Date: February 11, 1998