2012 Medicare Audit Defense & Medicare Appeals Tools

The 2012 Medicare Self-Audit templates & 2012 Medicare Audits & Medicare Appeals Guide are currently available - with no upfront payment required!

Jackson Davis HealthCare (JDH) leads the nation in providing real resources and solutions for enhanced Medicare program integrity.  From the nation's most comprehensive CMS documentation resources to industry-leading Medicare audit defense - nothing speaks louder than providers that adhere to Medicare coverage criteria & CMS conditions of participation requirements!

Jackson Davis has a proven approach and unmatched solutions for Medicare program integrity - we have assisted providers in winning over 95% of all Medicare appeals!  Order today at support@jdhcare.com and let JDH go to work for you! 

2012 Medicare Self-Audit Templates - The Nation's Best!

Are you looking to build a rock-solid internal audit & compliance program using Medicare coverage criteria as a foundation?  Have you been conditionally denied payment from a Medicare contractor and want to build winning appeals?  Do you want to promote education for your case management and medical staff team?

Jackson Davis has reviewed 10,000s of Medicare overpayment issues and we have extensive experience in assisting providers facing RAC audits and filing RAC appeals (and ZPIC appeals).  Our Medicare compliance professionals and clinical auditors are Medicare coverage criteria experts and we are making our winning 2012 Medicare audit templates available to you!

The Medicare self-audit templates are perfect for use by internal auditors and compliance professionals when reviewing Medicare audit focus areas and building winning Medicare appeals.  These detailed, self-audit templates are now available for purchase by healthcare providers nationwide.

Jackson Davis HealthCare, one of the nation's leaders in Medicare audit defense & submission of Medicare appeals, has invested thousands of hours in the documentation of Medicare coverage criteria & the development of Medicare self-audit templates.  These Medicare self-audit templates are backed by over 10,000 CMS and CMS contractor documents and provide the nation's most comprehensive resource for the evaluation of Medicare audit focus areas and the preparation of Medicare appeals.

The following is a sample of over 40 Medicare self-audit and Medicare appeals templates currently available for purchase by healthcare providers:

                PCI / ICD / Pacemakers (surgical procedures in wrong setting)
                Major Joint Replacement (orthopedic hips / knees)
                Home Health Agency admissions (homebound status and medical necessity)
                Skilled Nursing Facility admissions
                Short stays (chest pain & chest pain related diagnoses)
                Pneumonia diagnosis code sequencing
                Physician E&M coding
                Hospice admissions (medical necessity)
                Respiratory care with ventilator diagnosis code sequencing
                Inpatient Rehabilitation Facility admissions
                Outpatient physical therapy visits
                Use of modifier 25
                Wound care clinic and procedure billing
                Emergency Room visit criteria and CPT code selection
                HME supplies (billing and medical necessity)
                Excisional Debridement Impacted MS-DRGs
                Extensive O.R. Procedures Unrelated to PDX
                Portable Radiology visits & billing
                Neulasta billing & documentation
                Septicemia diagnosis code sequencing

Single and multi-facility pricing options are available.  Contact one of our Medicare audit defense or Medicare appeals team today with any questions and place your order request at (303) 586-5003 or e-mail us directly at support@jdhcare.com.

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The 2012 Medicare Audits & Medicare Appeals Guide - $495

Build the nation's best Medicare audit defense and develop winning Medicare appeals.  Purchase the electronic version of the 2012 Medicare Audits and Medicare Appeals Guide for $495!  The 2012 Medicare Audits and Medicare Appeals Guide is highlighted, sorted and organized by primary Medicare audit focus area.  The Guide is a compilation of over 10,000 CMS resource documents and is the nation's most comprehensive resource for RAC audit and RAC appeals tools, policies, procedures, presentations, legislation and regulations.

ADDED BONUS!  Prior to the shutdown on July 31, 2008 of the Hospital Payment Monitoring Program (HPMP), Jackson Davis HealthCare professionals compiled over 500 HPMP supporting documents from QIOs nationwide!  As a result, Jackson Davis is making these vital documents available within the 2012 Medicare Audits & Medicare Appeals Guide.  These documents are core to a wide range of RAC auditor "medical necessity" challenges and critical for providers responding to CMS payment criteria, Medicare coverage criteria and medical necessity challenges.  They are the absolute backbone of insuring compliance with each of the RACs primary focus areas.

Sample  - 2012 Medicare Audits & Medicare Appeals Focus Areas

    Short Stays - Chest Pain and Chest Pain Related Diagnoses
    Extensive O.R. Procedures Unrelated to PDX
    Respiratory Care Diagnoses with Ventilator MS-DRGs
    Excisional Debridement Impacted MS-DRGs
    PCI / Implantable Cardioverter Defibrillators (ICDs)
    Inpatient Rehabilitation Facility Admissions
    SNF Admissions & 3-Day Acute Stay Medical Necessity
    Outpatient Physical Therapy
    Emergency Room Visits and Modifier 25

Sample - 2012 Medicare Audits & Medicare Appeals Guide Documents
 
    Jackson Davis HealthCare RAC Audits & RAC Appeals Continuing Education Programs
    CMS - Recovery Audit Contractor (RAC) Transmittals
    CMS - Medicare Benefit Policy Manual
    CMS - Medicare Claims Processing Manual
    CMS - National Coverage Determinations
    CMS - Local Coverage Determinations
    CMS - Widespread, Targeted & Statewide Probes
    CMS - UB-04 Billing Manuals
    CMS - Charge Compression & Rate Structure Transmittals
    CMS - RAC Focus Area Audit Tools & Methodologies
    CMS - Medicare Cost Report (audit tools, policies procedures & presentations)
    CMS - RAC Appeals Process
    QIO - Medical Review (audit tools, policies & procedures)
    QIO - Sample RAC Focus Area Clinical Documentation

Our experienced Medicare compliance professionals, CMS clinical auditors and legal staff unconditionally guarantees that the 2012 Medicare Audits & Medicare Appeals Guide is the nation's best RAC audits & RAC appeals resource.  There simply is no better documented resource for assessing critical RAC areas, evaluating & implementing CMS payment criteria, addressing potential Medicare fraud or abuse and preparing cost-effective, timely, comprehensive & defensible CMS appeals.

Purchase of the Guide does not include the 2012 Medicare Audits & Medicare Appeals Self-Audit Tools discussed in the following section.  Self-audit tools may be purchased separately.

No upfront payment required.  To speak with one of our Medicare audit defense or Medicare appeals team - or for any questions regarding current CMS efforts to stop Medicare fraud & abuse, RAC audits or RAC appeals - place your order with us at support@jdhcare.com.
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