Connolly Healthcare has announced the first issues approved for complex RAC review, so providers in several RAC Region C states could begin seeing medical record documentation requests at any time.

The Recovery Audit Contractor for Medicare's Region B, CGI Federal, late Wednesday posted 87 new DRG Validations in 10 approved issues, capping a 10-day period that witnessed a total of 126 new DRG ...

Diversified Collection Services, the RAC for the Northeast, recently stated that Maryland hospitals would not be subject to DRG validation audits, according to a report by the Maryland Hospital ...

DCS Healthcare, the recovery audit contractor for Region A, posted the following CMS-approved audit issues on February 9-11. 1. MS-DRG validation for joint procedures. MS-DRG validation requires that ...

CHADDS FORD, Pa.--(BUSINESS WIRE)--Revint Solutions, the leader in revenue recovery solutions and pioneer of the industry’s leading revenue integrity safety net for healthcare providers, today ...

CMS Region C provider Connolly Healthcare has announced that it will begin complex RAC reviews for a new group of issues. This is the next step in the CMS clampdown, which ultimately will result in ...

Payer denials have nearly doubled since 2020, and the organizations absorbing the damage are doing so quietly. For health system revenue cycle leaders, the question is no longer whether denials are a ...

BROOKLYN, N.Y. & ROSWELL, Ga.--(BUSINESS WIRE)--ClinicalDRG is a new partnership incorporating the expertise of DRG Claims Management of Brooklyn, N.Y., and SFUR of Roswell, Ga., to bring to market a ...

In an effort to provide helpful information to providers, CMS has released a special edition MedLearn Matters (MLN) article that disseminates diagnosis-related group (DRG) coding vulnerabilities for ...