DecisionHealth Professional Services – Resources

Our goal is your success. To supplement our services, we regularly provide performance-improvement resources: articles and opinion pieces, tips and tools, from DecisionHealth Professional Services, DecisionHealth and other sources.

Articles:

• Recovery Audit Contractors (RACs) Current Status and The Future (.pdf)
• Recovery Audit Contractors “You Can Win” (.pdf)
• Stark Clarifications (.pdf)
• Identified Compliance Risks (.pdf)
• Identified Compliance Risks Investigations and Development of Corrective Action Plans (.pdf)
• Thriving in Trying Times (.pdf)
• 7 Myths About Physician Fees and Documented Answers to Keep You in Compliance
• Thriving in Trying Times: What Healthcare Organizations Can Do To Succeed (.pdf)

Tools:

• Recovery Audit Contractor Information (.pdf)
• Materials: MRCP Booklet (.pdf)
• Advanced Beneficiary Notification Change (.ppt)
• Materials: ABN Manual Instructions (.pdf) and ABN readers (.pdf)
• Home Health: Power Referrals (.ppt)
• Bundling Services Letter (.pdf)
• Consult Request Form (.pdf)
• Diagnostic Testing Request Form (.pdf)
• Duplicate Claims Letter (.pdf)
• ESRD Log (.pdf)
• Inpatient Audit Sheet (.pdf)
• Medically Necessary Appeal (.pdf)
• Medicare Secondary Payer Questionnaire (.pdf)
• Outpatient Audit Sheet (.pdf)
• Patient Dismissal Letter (.pdf)