Readmissions & Bundled Payments

Policy & Value-Based Care

Federal Legislators Call for More Transparency from CMMI

Jan. 10, 2019
Two Congressional leaders are calling for greater transparency from the Center for Medicare and Medicaid Innovation (CMMI) as it develops new delivery and payment models, and ...
18736482 M
Policy & Value-Based Care

Recent Humana Report Points to Encouraging Progress in the Shift to Value-Based Care

A recent study from Humana reports ongoing progress in improving health outcomes and lowering costs among patients treated by physicians in Humana Medicare Advantage value-based...
Clinical IT

Hospitals urge audit suspension amid appeal stoppage

Jan. 17, 2014
The American Hospital Association is urging suspension of Medicare audits until a backlog of appeals is cleared. The suspension in the Recovery Audit Contractor (RAC) program ...
H09 Rcm Healthport Dawn Crump
Finance/Revenue Cycle

Data in, audit insight out

Aug. 26, 2013
The first recovery audit contractor (RAC) pilot programs began in 2008. More than 1 million medical records have been requested, and hundreds of thousands of appeals have been...
H10 Rcm Healthport Lori Brocato
Policy & Value-Based Care

What executives need to know about the audit world

Sept. 25, 2012
Coping with recovery audits is a nationwide concern for providers that grows more and more each year. And by all predictions, the number of auditors and the volume of those audits...