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About Chris Richards, RHIA, CCS

Chris joined Barry Libman Inc. as a Senior Associate in 2014 after 27 years with Masspro, the Massachusetts Quality Improvement Organization (QIO). Chris’s areas of expertise include health information administration, case management, quality improvement, hospital payment oversight, and documentation education initiatives. He has a comprehensive understanding of the Federal Medicare program rules and regulations, as well as extensive experience ensuring that clinical coding and DRG assignment result in accurate provider reimbursement. A graduate of Hobart College, he received a postgraduate Bachelor of Science in Health Information Administration from Northeastern University.
14 02, 2015

Selected Topics from the 2015 OIG WORK PLAN: New Two-midnight Inpatient Admission Criteria

By |2018-09-04T02:10:33-04:00February 14th, 2015|Coders' Corner|Comments Off on Selected Topics from the 2015 OIG WORK PLAN: New Two-midnight Inpatient Admission Criteria

  by Christopher Richards, RHIA, CCS This series of posts will highlight potential provider vulnerabilities with respect to the OIG 2015 work plan. Our sister company, Barry Libman Inc., is available to assist you with any areas where you feel you might have potential exposure. Certainly, everyone is in full agreement that a good compliance plan strives to identify concerns before the OIG does. FROM THE WORK PLAN: Hospital—Related Policies and Practices -  New two-midnight inpatient admission criteria “We will determine the impact of new inpatient admission criteria on hospital billing, Medicare payments, and beneficiary copayments. This review will also determine how billing varied among

30 01, 2015

Selected Topics from the 2015 OIG WORK PLAN: Bone Marrow or Stem Cell Transplants

By |2018-09-04T02:14:39-04:00January 30th, 2015|Coders' Corner|Comments Off on Selected Topics from the 2015 OIG WORK PLAN: Bone Marrow or Stem Cell Transplants

  by Christopher Richards, RHIA, CCS This series of posts will highlight potential provider vulnerabilities with respect to the OIG 2015 work plan. Our sister company, Barry Libman Inc., is available to assist you with any areas where you feel you might have potential exposure. Certainly, everyone is in full agreement that a good compliance plan strives to identify concerns before the OIG does. FROM THE WORK PLAN: Hospitals—Billing and Payments – Bone marrow or stem cell transplants "We will review Medicare payments to hospitals for bone marrow or stem cell transplants to determine whether the payments were made in accordance with Federal rules and

16 01, 2015

Selected Topics from the 2015 OIG WORK PLAN: Payments for Patients Diagnosed with Kwashiorkor

By |2018-09-04T02:25:16-04:00January 16th, 2015|Coders' Corner|Comments Off on Selected Topics from the 2015 OIG WORK PLAN: Payments for Patients Diagnosed with Kwashiorkor

by Christopher Richards, RHIA, CCS This series of posts will highlight potential provider vulnerabilities with respect to the OIG 2015 work plan. Our sister company, Barry Libman Inc., is available to assist you with any areas where you feel you might have potential exposure. Certainly, everyone is in full agreement that a good compliance plan strives to identify concerns before the OIG does. FROM THE WORK PLAN: Hospitals—Billing and Payments - Payments for patients diagnosed with kwashiorkor "We will review Medicare payments made to hospitals for claims that include a diagnosis of kwashiorkor to determine whether the diagnosis is adequately supported by documentation in the

3 01, 2015

Selected Topics from the 2015 OIG Work Plan: Inpatient Claims for Mechanical Ventilation

By |2018-09-04T02:24:44-04:00January 3rd, 2015|Coders' Corner|Comments Off on Selected Topics from the 2015 OIG Work Plan: Inpatient Claims for Mechanical Ventilation

  by Christopher Richards, RHIA, CCS This series of posts will highlight potential provider vulnerabilities with respect to the OIG 2015 work plan. Our sister company, Barry Libman Inc., is available to assist you with any areas where you feel you might have potential exposure. Certainly, everyone is in full agreement that a good compliance plan strives to identify concerns before the OIG does. FROM THE WORK PLAN: Hospitals—Billing and Payments - Inpatient claims for mechanical ventilation “We will review Medicare payments for inpatient hospital claims with certain Medicare Severity Diagnosis Related Group (MS-DRG) assignments that require mechanical ventilation to determine whether hospitals’ DRG assignments

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