Admissions

Seeking an AMA Code – and Emerging Challenges to Aetna’s MA Policy

Let me start with some follow-up on a topic I have written about before: the widening of the use of “against medical advice” (AMA) to designate patients insisting on discharge to inappropriate settings prior to the completion of their medically warranted hospital care. I had

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Appeals

Lessons Learned: Appealing Audits

The 30th Annual Compliance Institute for the Health Care Compliance Association (HCCA) is scheduled to take place in Orlando next week. If you are there,

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Compliance

When in Doubt, Ask

Sometimes you want to be contacted by the US Department of Health and Human Services (HHS) Office of Inspector General (OIG).   I realize that

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