33% found a big part of the right answer - software.  Business Intelligence software for a hospital is something you almost can't live without, otherwise the audits can do what they just accomplished.  The auditors will have the software to come in and audit with, so why not get a step ahead and put the auditors out of business.  You can do a search on this site and find plenty of information on health care business intelligence software. 

imageAlso, there's no mention of the dollar amounts to be paid but 40% according to the article were found owing money.  Hopefully these are not any of the 50% bordering on insolvency and not enough to potentially put any of them in bankruptcy or out of business.  The state of California had their issues with the auditors and had some restraints ordered as the audits became to wild and wooly.  BD

The telephone survey of 171 directors, conducted June 30 through July 8, found that of those that have taken action, 77% had conducted internal claims audits; 66% had implemented a claims documentation improvement plan; and 57% had created a special task force to examine documentation, coding and billing. In addition, 33% said they had installed new software to capture correct documentation, coding and billing. Only 18% had hired additional coders.

Hospitals Expect to Refund Medicare

0 comments :

Post a Comment

 
Top
Google Analytics Alternative