Maybe you’ve already thought about this, but there’s lots to learn… so we’ll keep making suggestions…
RAC defense will include many of the areas we all deal with day-in and day-out, and a few which may be new to you — such as development and implementation of a Hospital wide Case Management Protocol.
Oh. Never heard of it…………..?? Read on…
Atlanta based, St. Joseph’s Hospital reached agreement with the DOJ and OIG (for a mere $26 Million) on issues relating to patient admission status (Observation vs Inpatient) and included in their CIA is the requirement to adopt a Case Management Protocol. To see what is involved go to www.myedutrax.com, Register (it’s free, takes a minute), then search for “St. Joseph’s”.
Wisest course is to consider such a step for development and implementation before it is “too late”.
More details to come…
recovery audit contractor
