The Medicare's Recover Audit Contractor (RA) program continues to ramp up, and both providers and audit contractors are not reporting any major issues with audit requests and responses. One of the...
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Visit Bluemark at HFMA ANI
This time of year is always exciting for the healthcare financial word with the industries HFMA ANI conference and exhibit. If you are planning on traveling to Orlando for the event then please...
Bluemark Launches New Solution for esMD Document Submissions
Responding to record requests and keeping up with all of the required documentation in today's audit arena is an extremely cumbersome process. Blueway Portal, the newest solution from Bluemark, is...
AHCA — Updated and Amended
The third time was the charm for the American Health Care Act (AHCA)—at least as it went before the House of Representatives. On May 4, an amended version of the AHCA passed the House by a narrow...
How to Respond to Lower Document Request Limits
One of the most significant changes in the latest iteration of the Recovery Audit (RA) program is the new limits placed on ADR requests. These limits are based on the number of claims paid by the...
Changes to the Medicare Recovery Audit Program
A new season of Medicare Recovery Audit Contractor (RA) audits began last month, bringing with it changes for both providers and RA contractors. As many Medicare providers across the country are...
Consumerism in Health Care: How Will Providers Be Impacted?
Shopping around for a deal is no new concept; consumers do it all the time, especially when making big-ticket purchases. But in health care, this approach just began gaining momentum over the last...
Healthcare Reform: A Work in Progress
House Republicans unveiled the American Health Care Act (AHCA) earlier this month, raising the curtain on the GOP's first draft of the much-anticipated replacement bill for the Affordable Care Act...
Best Practice – Identifying the Right Audit Management Solution
A new season of RAC audits kicked off in early March across the country. Your hospital will be impacted by this new phase of audits sooner or later, so now is the time to evaluate your audit...
What’s Next for the Affordable Care Act?
Within hours of the inauguration, President Trump signed his first Executive Order which took aim at one of the key issues he campaigned on: the dismantling of the Affordable Care Act (ACA). There...