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Depending on your point of view, HIPAA is either a boon or a bane: It?s generated a whole new line of business for many consultants, but has probably presented a major pain for providers, or ?covered entities.? What started in…

CMS has released a report offering fresh evidence that the recovery audit contractors (RACs) pilot program is successfully identifying improper payments ? $693.6 million has been returned to the Medicare Trust funds between 2005 and March 2008, officials say.

According to CMS's recovery audit contractor (RAC) evaluation report, here are the top five hospital services with overpayments from 2005 through March 27.

This is a review of claim facts and corrective actions taken for excisional debridements (complex review, incorrect coding), one of the top five overpaid services in inpatient hospitals, as explained in CMS's recovery audit contractor evaluation report.

Citing "concerns about physicians responding to incentive payment and shared savings programs by stinting, cherry picking, steering and making quicker-sicker discharges," CMS has proposed a self-referral exception for such incentive and gain-sharing programs aimed at preventing these potential issues while…

Q: What are you doing to recruit and retain physicians for practicing at your ASC? What is your best advice for recruiting physicians to buy into your ASC?

Healthy accounts receivable (A/R) makes for a fiscally healthy surgery center. Analyzing this one balance sheet item will give you a reasonable idea of the fiscal integrity of your center. In dozens of surgical facilities (and clinics as well), we…

As acute care hospitals face growing competition, protecting their orthopedic surgery departments becomes increasingly valuable. Not-for-profit acute care hospitals depend on that revenue to subsidize money-losing services and attract new patients. Reimbursements from public and private insurers for orthopedic surgery…

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Amkai has announced that it was awarded contracts by 20 facilities during June to provide them with the company's AmkaiOffice management system. These successes follow the major launch of AmkaiOffice 2.0 at the recent ASC Association convention in San Antonio.…