So help me out here. Obama says he will cut

[Hallelujah]

you mean you don't support our troops? MOVE TO CANADA, FREEDOM HATING BASTARD.

That's not the government, those are our citizens. The 'government' pays hundreds for toilet seats on air force jets. The government is more concerned about politics when it comes to winning wars. The government simply puts our citizens in harm's way. Get the difference? Some of you guys just don't get it.

SS is broke. Medicare is broke. Medicaid is broke. USPS is billions in debt. Amtrak is always in the red. DMV is a disaster. Show me ONE government program that is well run and under budget.

I love your post, even though you are misinformed.

[Jarid in Cedar]

{Looking to the heavens..."Lord why do I hate myself?"}

I guess when you live in small town USA and spend half your waking hours on CUF, you wouldn't know the impact on hospitals.

Given that I sit on the medical executive committee and the hospital board, I probably have a few ideas of what the concerns and risks of RAC audits have to the hospital. And unlike yourself, I am quite capable of managing 2, 3, and even 4 tasks at a given time. It's called "multitasking".

"While only a fraction of claims make it to the fifth and final appeal stage, each has specialized requirements and logistics to keep track of claims. According to the American Hospital Association, the cost to a provider to file an appeal can be as much as $7,000 per claim. The labor and cost of the appeals process will directly influence whether hospitals will want to dispute a finding for each claim."

The solution to RAC audits is to do it right the first time, bill and code correctly and the auditors have nothing to take from you(and they won't come knocking again anytime soon) Our hospitals internal audit found that we were underdocumenting for the codes billed, also that we were undercoding for the work that was actually being done. Meaning, our documentation was severely lacking. By improving our documentation to reflect the correct severity of illness, etc, that we are now be able to legitimately bill for a higher DRG, therefore, make more money for the work that we were actually doing in the first place. And as a bonus, our documentation is now correct and the RAC audits will be of little significance in the long haul. Sadly, those that are ill prepared or unwilling to change are the ones who bitch the most about how "unfair" the system operates.

If it becomes too expensive (because you are on the defensive), they will cease doing those marginally extra procedures because they may not get paid.

If a procedure is marginal to start with, you probably shouldn't be performing it anyway. Saves money, decreases waste, and keeps you from having to spend money on the appeal. Win-Win it would seem.

You see, defensive medicine is practiced because of malpractice. Are you starting to see?

You see defensive medicine and malpractice has nothing to do with RAC audits and medicare fraud. Given that the discussion has been about recovering medicare fraud, I can't see how your insertion of this topic is relevant to what you originally posted. This is why I wanted to Why don't you stop listening to Rush, Hannity, et al for your talking points on this topic and come in with some original thoughts.

[PaloAltoCougar]

{Looking to the heavens..."Lord why do I hate myself?"}




Given that I sit on the medical executive committee and the hospital board, I probably have a few ideas of what the concerns and risks of RAC audits have to the hospital. And unlike yourself, I am quite capable of managing 2, 3, and even 4 tasks at a given time. It's called "multitasking".



The solution to RAC audits is to do it right the first time, bill and code correctly and the auditors have nothing to take from you(and they won't come knocking again anytime soon) Our hospitals internal audit found that we were underdocumenting for the codes billed, also that we were undercoding for the work that was actually being done. Meaning, our documentation was severely lacking. By improving our documentation to reflect the correct severity of illness, etc, that we are now be able to legitimately bill for a higher DRG, therefore, make more money for the work that we were actually doing in the first place. And as a bonus, our documentation is now correct and the RAC audits will be of little significance in the long haul. Sadly, those that are ill prepared or unwilling to change are the ones who bitch the most about how "unfair" the system operates.



If a procedure is marginal to start with, you probably shouldn't be performing it anyway. Saves money, decreases waste, and keeps you from having to spend money on the appeal. Win-Win it would seem.



You see defensive medicine and malpractice has nothing to do with RAC audits and medicare fraud. Given that the discussion has been about recovering medicare fraud, I can't see how your insertion of this topic is relevant to what you originally posted. This is why I wanted to Why don't you stop listening to Rush, Hannity, et al for your talking points on this topic and come in with some original thoughts.

A good response, and yet why do I have this image?

[Jarid in Cedar]

A good response, and yet why do I have this image?

Sometimes we have to indulge our sadomasochistic impulses.

[old_gregg]

Show me ONE government program that is well run and under budget.

the united states marine corps. you think the answer to national defense is private contractors...?

[wuapinmon]

Why don't you stop listening to Rush, Hannity, et al for your talking points on this topic and come in with some original thoughts.

http://www.cougaruteforum.com/showpost.php?p=135670&postcount=2

[Hallelujah]

http://www.cougaruteforum.com/showpo...70&postcount=2

Back to the racist stuff again, huh? Can't argue the facts of an argument so you name call. Typical liberal associate professor. Spends too much time in the classroom and not enough time in the real world discussing real problems.

[Hallelujah]

{Looking to the heavens..."Lord why do I hate myself?"}


The solution to RAC audits is to do it right the first time, bill and code correctly and the auditors have nothing to take from you(and they won't come knocking again anytime soon) Our hospitals internal audit found that we were underdocumenting for the codes billed, also that we were undercoding for the work that was actually being done. Meaning, our documentation was severely lacking. By improving our documentation to reflect the correct severity of illness, etc, that we are now be able to legitimately bill for a higher DRG, therefore, make more money for the work that we were actually doing in the first place. And as a bonus, our documentation is now correct and the RAC audits will be of little significance in the long haul. Sadly, those that are ill prepared or unwilling to change are the ones who bitch the most about how "unfair" the system operates.



If a procedure is marginal to start with, you probably shouldn't be performing it anyway. Saves money, decreases waste, and keeps you from having to spend money on the appeal. Win-Win it would seem.

that's why they call it defensive medicine in the first place. duh. don't do it in the first place and chance a malpractice suit that claims you should have done it in the first place.

how big is your hospital? 50 beds? how many practicing physicians. i rest my case. much easier for a small town hospital to pull that off. fewer patients per physician, and on and on.

[Jarid in Cedar]

how big is your hospital? 50 beds? how many practicing physicians. i rest my case. much easier for a small town hospital to pull that off. fewer patients per physician, and on and on.

<sigh>

Dixie Regional Medical Center is a 245-bed hospital located on two campuses - River Road and 400 East. Located in St. George, Utah, Dixie Regional Medical Center is the major medical referral center for northwestern Arizona, southeastern Nevada and southern Utah. We have been recognized as a Thompson Top 100 Heart Hospital and our Cardiac Rehabilitation program is nationally certified. We partner with the Huntsman Cancer Institute to provide world-class cancer care for patients close to home. We recently added a newborn intensive care unit so that parents can stay with their struggling child without having to travel. We've also opened the Dixie Regional Health & Performance Center, which is an outpatient facility designed not for people who are sick, but to help people become well. With the continued support of the community we serve, we are constantly growing to meet your needs. Click here to learn more about recent awards and recognition our hospital has received.

http://intermountainhealthcare.org/hospitals/dixie/Pages/home.aspx

Quit making excuses for your hospital. If you have the motivation and the leadership, this is not a problem.

You really should rest your case, because you are getting your ass handed to you on a platter.

[old_gregg]

Back to the racist stuff again, huh? Can't argue the facts of an argument so you name call. Typical liberal associate professor. Spends too much time in the classroom and not enough time in the real world discussing real problems.

you're kind of a dick

[Jarid in Cedar]

you're kind of a dick

http://www.cougaruteforum.com/showpost.php?p=311577&postcount=16

Just tryin' to help

[wuapinmon]

Back to the racist stuff again, huh? Can't argue the facts of an argument so you name call. Typical liberal associate professor. Spends too much time in the classroom and not enough time in the real world discussing real problems.

Some truths are self-evident. I think you're full of Wednesday about everything you purport to be. There's absolutely no way in hell that you're a med student. No way. You sound just like a Baby Boomer; you're no Gen X'er.

Oh, and I'm Assistant Professor of Spanish (yes, that's tenure-track).

[Hallelujah]

you're kind of a dick

Because I called someone out for name calling? So, join the ranks of name callers. It's like dealing with my kids. Choose not to debate, just name call. No wonder you reside in the telestial kingdom.

[Hallelujah]

the united states marine corps. you think the answer to national defense is private contractors...?

Our government hires private contractors. ARe you saying the armed forces aren't up to the task? Go to Canada you whimp!

[Hallelujah]

Some truths are self-evident. I think you're full of Wednesday about everything you purport to be. There's absolutely no way in hell that you're a med student. No way. You sound just like a Baby Boomer; you're no Gen X'er.

Oh, and I'm Assistant Professor of Spanish (yes, that's tenure-track).

I'm still trying to figure out why it matters what you think I am or am not. Give me a minute.