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CMS to test electronic method for you to respond to record requests
by: Grant Huang Aug 23, 2011

Image from www.cms.govThe next time you get a request for records from your carrier or recovery audit contractor (RAC), you would be able to send it electronically under a new CMS pilot program. The Electronic Submission of Medical Documentation (esMD) lets you send any requested record as a PDF document, which typically means you scan or convert the required documents into PDFs. This could reduce the time it takes to meet a records request, although you will probably need to go through your claims clearinghouse to submit information via esMD.

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MACs taking over RAC overpayments
by: Grant Huang Aug 9, 2011

DecisionHealth stock imageYou can look forward to overpayment demand letters -- based on audits by your recovery audit contractor (RAC) -- coming from your Medicare Administrative Contractor (MAC) or carrier, starting Jan. 1, 2012. Your MAC or carrier will now issue the demand letters, but everything else about the recoupment process will stay the same, including the 40-day discussion period and the appeals process.

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OIG finds EHR data isn't well protected
by: Grant Huang May 23, 2011

Image from oig.hhs.govPatient data stored in existing electronic health record (EHR) systems isn't very secure, according to new reports from the HHS Office of Inspector General (OIG). In an audit of seven different hospitals, the OIG uncovered 151 "vulnerabilities," of which 124 were determined to be "high impact." That term means the vulnerabilities could result in costly losses of tangible assets, may significantly harm an organization's reputation, and may even cause injury or death to patients.

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