Registrars, departments partner on denials

September 2011
Same-Day Surgery;Sep2011, Vol. 35 Issue 9, p97
Academic Journal
The article reports on a partnership which was developed at Valley Health System in Ridgewood, New Jersey to to reduce denials for payment claims for medical procedures.


Related Articles

  • Budget deal could deter hospitals from buying surgery centers. Kutscher, Beth // Modern Healthcare;11/2/2015, Vol. 45 Issue 44, p0009 

    The article discusses the impact of a federal budget bill passed by U.S. Congress on the interest of hospitals in acquiring ambulatory surgery centers (ASCs). It mentions the reduction of Medicare rates for hospital-owned off-campus outpatient centers under the bill, the elimination of the...

  • Prepare for enhanced scrutiny on infection control as regulators clamp down on unsafe practices related to health care-associated infections.  // ED Management;Dec2013, Vol. 25 Issue 12, p1 

    The article focuses on the increasing efforts of U.S. government regulators to reduce harm from health care-associated infections (HAI) in 2014, which may include unannounced hospital visits by inspectors from the Centers for Medicare and Medicaid Services (CMS). It stresses the need for...

  • Preparing for OPPS Changes: A Proactive Approach. Kovar, Mike // Revenue Cycle Strategist;Oct2014, Vol. 11 Issue 8, p1 

    The article reports that the U.S. Centers for Medicare & Medicaid Services issued the proposed 2015 changes to the outpatient prospective payment system (OPPS) on July 14, 2014. Topics include the key components that should be included in a strategic assessment of the proposed rule, three issues...

  • Quality reporting for ASCs is off to a good start. DeJohn, Paula // OR Manager;Jan2013, Vol. 29 Issue 1, p1 

    The article discusses the success of a requirement by the U.S. Centers for Medicare and Medicaid Services (CMS), beginning October 1, 2012, that ambulatory surgery centers (ASCs) produce quality reports on Medicare claim forms. Topics include the benefits of sharing best practices between ASCs,...

  • Clarification for G-codes and the associated charge.  // Same-Day Surgery;Jun2013, Vol. 37 Issue 6, p71 

    The article reports on confusion which has been voiced by several U.S. ambulatory surgery centers in response to patient outcome G-codes with no associated charges for Medicare beneficiaries which have been developed by the U.S. Centers for Medicare & Medicaid Services.

  • A Medicare guide to ophthalmic ASC reimbursement. Asbell, Riva Lee // Ocular Surgery News;1/25/2010, Vol. 28 Issue 2, p40 

    The article presents a guide to basic reference for obtaining proper reimbursement in the ambulatory surgical center (ASC) opthalmic setting in 2010. An overview of the new payment systems for ASC launched by the U.S. Centers for Medicare and Medicaid Services on January 1, 2008 is offered. It...

  • Implementation period for outpatient payment rule cut short by CMS delays. DeJohn, Paula // OR Manager;Jan2014, Vol. 30 Issue 1, p30 

    The article reports on the industry representatives' criticisms against the short implementation period of the CMS-1601-FC, the final 2014 hospital outpatient and ambulatory surgical center (ASC) payment rule, because its released was delayed by the U.S. Centers for Medicare and Medicaid...

  • Beware of the ZPIC: Tips for Revenue Cycle Leaders. Parrella, Christopher A. // Revenue Cycle Strategist;Apr2012, Vol. 9 Issue 3, p6 

    The article discusses the need of awareness about regional zone program integrity contractor (ZPIC), which can exert their fraud-and-abuse detection authority in two key areas; prepayment medical reviews and post payment It highlights the Medicare Integrity Program, contracted by the Centers for...

  • FRUSTRATIONS REMAIN. ROOP, ELIZABETH S. // For the Record (Great Valley Publishing Company, Inc.);7/30/2012, Vol. 24 Issue 14, p14 

    The article discusses some of the discrepancies in the Centers for Medicare & Medicaid Services' (CMS) permanent recovery audit contractor (RAC) initiative. These include inexperienced RAC clinical reviewers and problems with the automated flow of information. The article provides statistical...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics