Document Detail


Be prepared: Medicare auditors increase scrutiny.
MedLine Citation:
PMID:  22299176     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
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:
Type:  Journal Article    
Journal Detail:
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:
Created Date:  2012-02-02     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9603097     Medline TA:  Hosp Case Manag     Country:  United States    
Other Details:
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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