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The Corporate Compliance Program in Healthcare: The Program That Can Protect Your Agency

The government is escalating investigations in 2013 through Recovery Audit Contractors (RACs), Medicare Recovery Contractors (MACs), Medicaid Integrity Contractors (MICs), Zone Program Integrity Contractors (Z-PICs), and now, the Health Care Fraud Prevention...

Published Wed, Mar 03 2013 11:39 AM by Select Data

Filed under: Home Health, Select Data, OIG, GAO, Coding, HEAT, Z-PICs, MICs, RACs, MACs, Corporate Compliance, RAC Demonstration Project, Code of Ethics, General Accounting Office, Corporate Compliance Plan, Office of Inspector General, Medicare PPS

Proper ICD-9 CM Coding and an Effective Code of Conduct: Both are Essential in Home Health Care Today

Accurate coding with the highest level of specificity is required if an agency wishes to remain compliant and to retain revenues received. Creating and maintaining a strong code of conduct sends a powerful statement to employees, customers, and business...

Published Thu, Mar 03 2012 7:27 PM by Select Data

Filed under: RAC, MAC, Medicare, OASIS-C, HEAT, Z-PICs, MICs, RACs, MACs, Z-PIC

Educational Videos: RACs, MACs, Z-PICs, Part II of IV

RACs, MACs, Z-PICs, Part II of IV CERTS – (Comprehensive Error Rate Testing) To better calculate the performance of the FIs and MACs, as well as to look at the reasons for their errors, CMS decided to look at a number of additional rates. The additional...

Published Thu, Jan 01 2012 6:38 PM by Select Data

Filed under: Medicare, hipaa, Home Health, Select Data, Educational Videos, OASIS-C, Compliance, CMS Guidelines, HEAT, Z-PICs, MICs, RACs, MACs, HIPPA HITECH, Part II of IV

Educational Videos: RACs, MACs, Z-PICs, Part I of IV

RACs, MACs, Z-PICs, Part I of IV CMS has Unleashed the Auditors Annually, CMS receives 1.2 billion claims. That breaks down to 4.3 million claims per work day, 574,000 claims per hour, and 9,579 claims per minute. Fraud and abuse are on the rise and the...

Published Thu, Jan 01 2012 6:18 PM by Select Data

Filed under: hipaa, Home Health, Educational Videos, OASIS-C, Compliance, CMS Guidelines, HEAT, Z-PICs, MICs, RACs, MACs, HIPPA HITECH, CERTs, the HEAT, and now

RACs, MACs, Z-Pics:The Auditors are Unleashed

What are your agency case mix averages by admission: clinician: diagnosis? Do you know your top five diagnostic patient profiles? How do you set visit frequencies? Formula-based or what seems right? Are you making visits that have no impact on patient...

Published Sat, Oct 10 2011 12:26 PM by Select Data

Filed under: hipaa, CMS, Home Health, Compliance, Legislation, Surveys, CMS Guidelines, HEAT, Z-PICs, MICs, RACs, MACs, Z-Pics:The Auditors are Unleashed

Documentation, Edits, and Auditors, Are You at Risk?

In September and October, the ezine and nation-wide teleconference presented by Select Data will focus on Documentation and Compliance. Check the Select Data website for dates for the teleconference: Documentation Requirements for Compliant Billing. This...

Published Sat, Sep 09 2011 3:49 PM by Select Data

Filed under: Home Health, Home Care, Select Data, OASIS-C, Legislation, CMS Guidelines, home healthcare, HEAT, Z-PICs, MICs, RACs, Audit Risks, MACs

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