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  • RAC Update
    The latest CMS RAC Review Phase –in Strategy released 6/24/09

    Earliest possible dates for review in yellow/green states Click here to find out more.
  • The Medicare recovery audit contractor (RAC) for Region C, Connolly
    Healthcare, has posted the first set of issues eligible for RAC review.
    Demand letters notifying providers of coding errors and claim amounts will
    follow. These issues are approved for outpatient hospital and physician
    providers in South Carolina.

    The other states and territories in RAC Region C are: Alabama, Arkansas,
    Colorado, Florida, Georgia, Louisiana, Mississippi, North Carolina, New
    Mexico, Oklahoma, South Carolina, Tennessee, Texas, Virginia, West Virginia,
    Puerto Rico, and the U.S. Virgin Islands More.
  • CMS Begins Provider Outreach. Click the link below to view the current schedule. This list will be updated as more sessions are scheduled. www.cms.hhs.gov/rac and click onto the Outreach schedule.

  • Care Transition Project - CMS announced the 14 communities around the nation that have been chosen for the Agency’s Care Transitions Project, seeking to eliminate unnecessary hospital readmissions.
    “Our data show that nearly one in five patients who leave the hospital today will be re-admitted within the next month, and that more than three-quarters of these re-admissions are potentially preventable,” said CMS Acting Administrator Charlene Frizzera.  “This situation can be changed by approaching health care quality from a community-wide perspective, and focusing on how all of the members of an area’s health care team can better work together in the best interests of their shared patient population.”
    The goal of the Care Transitions Project is to improve health care processes so that patients, their caregivers, and their entire team of providers have what they need to keep patients from returning to the hospital for ongoing care needs.  By promoting seamless transitions from the hospital to home, skilled nursing care, or home health care, this community-wide approach seeks, not only to reduce hospital readmissions but to yield sustainable and replicable strategies that achieve high-value health care for Medicare beneficiaries... MORE at CMS Website

  • Clinical Documentation Specialist
    YPRO Corporation now offers the service of a clinical documentation specialist. A clinical documentation specialist secures complete, accurate and compliant clinical documentation by working with physicians and health information management staff. Want to learn more about the overall benefits of having a clinical documentation specialist on your patient care team,click here:
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  • Clinical Documentation Improvement EMERGE- Clinical Documentation Improvement Program with automated help tool, Doc-U-Aide.