tci Part B Insider - 2009 Issue 10

In other news ...

Wondering how the new Recovery Audit Contractors plan to review -- and possibly deny -- your claims from afar? Now you have part of the answer. The RAC for 17 states, Las Vegas-based HealthDataInsights Inc., will use Milliman Care Guidelines content and software to review Medicare claims, Milliman says in a release. The Care Guidelines promote healthcare quality by providing clinical guidelines based on the best available clinical evidence, the Seattle-based company says. The company provides guidelines for seven topic areas including home care and chronic care. The Care Guidelines include quality measures and each guideline topic outlines key...

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