| Be prepared: Medicare auditors increase scrutiny. | |
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MedLine Citation:
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PMID: 22299176 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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The Centers for Medicare and Medicaid Services (CMS) is pushing its auditors to be more aggressive in reviewing hospital claims. CMS has set targets for how many claims the auditors should review. Auditors are encouraged to use extrapolation for denials when they find a pattern of erroneous claims. CMS has approved more than 570 diagnosis related group (DRGs) for medical necessity review. |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Hospital case management : the monthly update on hospital-based care planning and critical paths Volume: 20 ISSN: 1087-0652 ISO Abbreviation: Hosp Case Manag Publication Date: 2012 Feb |
Date Detail:
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Created Date: 2012-02-02 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9603097 Medline TA: Hosp Case Manag Country: United States |
Other Details:
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Languages: eng Pagination: 19-20 Citation Subset: H |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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