All Entries Tagged With: "social workers"

Here they come: Two RACs post issues eligible for review

Editor’s note:  My colleague, Andrea Kraynak, does a great job staying on top of all the RAC news over at the Revenue Cycle Institute blog. The following is round-up of some of the news she has covered recently in regards to issues eligible for RAC review.

Two of the four RACs have posted issues eligible for RAC review on their Web sites, meaning that RACs can begin auditing in those areas at any time.

Connolly, the RAC for region C, has posted the approved issues for South Carolina and Florida. No word yet on the other states and territories that Connolly covers. However, many experts are advising providers to pay attention to these issues, regardless of whether they are within the Connolly’s jurisdiction.

Kimberly Anderwood Hoy, JD, CPC, director of Medicare and compliance at HCPro, Inc., says providers outside Connolly’s jurisdiction may want to review the issues as a clue to what RACs might audit in their area. However, she notes that providers should anticipate that RACs will audit for different issues for different jurisdictions although there certainly could be some overlap.

Connolly will focus on the following six issues for both states: [more]

Clinical Social Worker (CSW) or Registered Nurse (RN)?

Effective working relationships between nurses and social workers are the foundation of effective patient care management. Both disciplines bring value and there own unique perspective to the patient/family situation. But philosophical differences, and unclear role delineations can sometimes disrupt collaboration among the two.

HCPro has offered two audio conferences devoted to this subject. Where do you sit on the case management spectrum? Are you an RN or a LCSW?