<?xml version="1.0" encoding="UTF-8"?>
<rss version="2.0"
	xmlns:content="http://purl.org/rss/1.0/modules/content/"
	xmlns:wfw="http://wellformedweb.org/CommentAPI/"
	xmlns:dc="http://purl.org/dc/elements/1.1/"
	xmlns:atom="http://www.w3.org/2005/Atom"
	xmlns:sy="http://purl.org/rss/1.0/modules/syndication/"
	xmlns:slash="http://purl.org/rss/1.0/modules/slash/"
	>

<channel>
	<title>Washington &#38; West Resources</title>
	<atom:link href="http://washingtonwest.com/resources/feed/" rel="self" type="application/rss+xml" />
	<link>http://washingtonwest.com/resources</link>
	<description>Articles, advice, news and more provided by Washington &#38; West, LLC</description>
	<lastBuildDate>Mon, 15 Nov 2010 19:30:09 +0000</lastBuildDate>
	<generator>http://wordpress.org/?v=2.9.2</generator>
	<language>en</language>
	<sy:updatePeriod>hourly</sy:updatePeriod>
	<sy:updateFrequency>1</sy:updateFrequency>
			<item>
		<title>Don&#8217;t Let Length of Stay (LOS) Denials Turn Into LOSSES From RACs Or Other Audits</title>
		<link>http://washingtonwest.com/resources/2010/11/dont-let-length-of-stay-los-denials-turn-into-losses-from-racs-or-other-audits/</link>
		<comments>http://washingtonwest.com/resources/2010/11/dont-let-length-of-stay-los-denials-turn-into-losses-from-racs-or-other-audits/#comments</comments>
		<pubDate>Mon, 15 Nov 2010 19:07:00 +0000</pubDate>
		<dc:creator>mjones</dc:creator>
				<category><![CDATA[Appeals]]></category>
		<category><![CDATA[Clinical Documentation Improvement]]></category>
		<category><![CDATA[RAC]]></category>
		<category><![CDATA[denials]]></category>

		<guid isPermaLink="false">http://washingtonwest.com/resources/2010/11/dont-let-length-of-stay-los-denials-turn-into-losses-from-racs-or-other-audits/</guid>
		<description><![CDATA[ Written by Cynthia M. Lipsitz, MD, MPH
Best Practice Physician Documentation Tips To Prevent Length Of Stay Denials
The last few days of an acute inpatient stay are prime targets for auditors. Time and again, these days are denied because the “the documentation provided does not support the need for the patient to continue to receive [...]]]></description>
		<wfw:commentRss>http://washingtonwest.com/resources/2010/11/dont-let-length-of-stay-los-denials-turn-into-losses-from-racs-or-other-audits/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Think Like a Professor, Write Like a Med Student</title>
		<link>http://washingtonwest.com/resources/2010/08/think-like-a-professor-write-like-a-med-student/</link>
		<comments>http://washingtonwest.com/resources/2010/08/think-like-a-professor-write-like-a-med-student/#comments</comments>
		<pubDate>Wed, 04 Aug 2010 15:00:08 +0000</pubDate>
		<dc:creator>kknitter</dc:creator>
				<category><![CDATA[Appeals]]></category>
		<category><![CDATA[Article]]></category>
		<category><![CDATA[Clinical Documentation Improvement]]></category>
		<category><![CDATA[HIM]]></category>
		<category><![CDATA[Health Information]]></category>
		<category><![CDATA[Talks]]></category>
		<category><![CDATA[denials]]></category>
		<category><![CDATA[admission]]></category>
		<category><![CDATA[appeal]]></category>
		<category><![CDATA[audit denials]]></category>
		<category><![CDATA[clinicals]]></category>
		<category><![CDATA[denial management]]></category>
		<category><![CDATA[doctor]]></category>
		<category><![CDATA[documentation]]></category>
		<category><![CDATA[DRG]]></category>
		<category><![CDATA[medical coding]]></category>
		<category><![CDATA[welcome]]></category>

		<guid isPermaLink="false">http://washingtonwest.com/resources/2010/08/think-like-a-professor-write-like-a-med-student/</guid>
		<description><![CDATA[ Written by Cynthia M. Lipsitz, MD, MPH
As government auditors expand their lists of audit issues, medical records departments are working diligently to get healthcare professionals to improve their documentation.
And with good reason:  Significant financial risks can be traced back to poorly documented notes and orders.  Poor documentation increases the likelihood of miscoding, inaccurate DRG [...]]]></description>
		<wfw:commentRss>http://washingtonwest.com/resources/2010/08/think-like-a-professor-write-like-a-med-student/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>For Want of a Procedure Note, A Payment Was Lost &#8211; A Fable</title>
		<link>http://washingtonwest.com/resources/2010/07/for-want-of-a-procedure-note-a-payment-was-lost-a-fable/</link>
		<comments>http://washingtonwest.com/resources/2010/07/for-want-of-a-procedure-note-a-payment-was-lost-a-fable/#comments</comments>
		<pubDate>Tue, 06 Jul 2010 13:47:00 +0000</pubDate>
		<dc:creator>kknitter</dc:creator>
				<category><![CDATA[Clinical Documentation Improvement]]></category>
		<category><![CDATA[Health Information]]></category>
		<category><![CDATA[Talks]]></category>
		<category><![CDATA[administrative law judge]]></category>
		<category><![CDATA[appeal]]></category>
		<category><![CDATA[audit]]></category>
		<category><![CDATA[auditor]]></category>
		<category><![CDATA[billing]]></category>
		<category><![CDATA[claims processing]]></category>
		<category><![CDATA[coding clinic]]></category>
		<category><![CDATA[debridement]]></category>
		<category><![CDATA[denial]]></category>
		<category><![CDATA[diagnosis]]></category>
		<category><![CDATA[discharge]]></category>
		<category><![CDATA[documentation]]></category>
		<category><![CDATA[documentation practices]]></category>
		<category><![CDATA[DRG]]></category>
		<category><![CDATA[DRG's]]></category>
		<category><![CDATA[Electronic Health Record]]></category>
		<category><![CDATA[Erythematous]]></category>
		<category><![CDATA[excisional]]></category>
		<category><![CDATA[government audit]]></category>
		<category><![CDATA[health care professionals]]></category>
		<category><![CDATA[loose fragments]]></category>
		<category><![CDATA[management]]></category>
		<category><![CDATA[medical]]></category>
		<category><![CDATA[medical records]]></category>
		<category><![CDATA[Medicare]]></category>
		<category><![CDATA[physician]]></category>
		<category><![CDATA[principal diagnosis]]></category>
		<category><![CDATA[record]]></category>
		<category><![CDATA[records]]></category>
		<category><![CDATA[reimbursement]]></category>
		<category><![CDATA[surgeon]]></category>

		<guid isPermaLink="false">http://washingtonwest.com/resources/2010/07/for-want-of-a-procedure-note-a-payment-was-lost-a-fable/</guid>
		<description><![CDATA[ Written by Cynthia M. Lipsitz, MD, MPH
There are many of us physicians, and other health care professionals who regularly write notes in medical records, who are not yet fully aware of the relationship between our documentation practices, medical coding, and reimbursement. The complexities of coding and DRG’s are tiresome to busy physicians, so I [...]]]></description>
		<wfw:commentRss>http://washingtonwest.com/resources/2010/07/for-want-of-a-procedure-note-a-payment-was-lost-a-fable/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Top 5 Physician Documentation Errors</title>
		<link>http://washingtonwest.com/resources/2010/06/top-5-physician-documentation-errors/</link>
		<comments>http://washingtonwest.com/resources/2010/06/top-5-physician-documentation-errors/#comments</comments>
		<pubDate>Fri, 25 Jun 2010 09:00:00 +0000</pubDate>
		<dc:creator>kknitter</dc:creator>
				<category><![CDATA[Appeals]]></category>
		<category><![CDATA[Clinical Documentation Improvement]]></category>
		<category><![CDATA[HIM]]></category>
		<category><![CDATA[Health Information]]></category>
		<category><![CDATA[Talks]]></category>
		<category><![CDATA[denials]]></category>
		<category><![CDATA[administration]]></category>
		<category><![CDATA[appeal]]></category>
		<category><![CDATA[appeal solutions]]></category>
		<category><![CDATA[CDI]]></category>
		<category><![CDATA[compliance]]></category>
		<category><![CDATA[consulting]]></category>
		<category><![CDATA[denial]]></category>
		<category><![CDATA[denial management]]></category>
		<category><![CDATA[Doc]]></category>
		<category><![CDATA[DRG]]></category>
		<category><![CDATA[Electronic Health Record]]></category>
		<category><![CDATA[health]]></category>
		<category><![CDATA[Health Information management]]></category>
		<category><![CDATA[inpatient]]></category>
		<category><![CDATA[liability]]></category>
		<category><![CDATA[management]]></category>
		<category><![CDATA[medical]]></category>
		<category><![CDATA[MPH]]></category>
		<category><![CDATA[physician]]></category>
		<category><![CDATA[physician documentation]]></category>
		<category><![CDATA[RAC]]></category>
		<category><![CDATA[RAC Appeal Service]]></category>
		<category><![CDATA[record]]></category>
		<category><![CDATA[records]]></category>

		<guid isPermaLink="false">http://washingtonwest.com/resources/2010/06/top-5-physician-documentation-errors/</guid>
		<description><![CDATA[ Written by Cynthia M. Lipsitz, MD, MPH
As the senior medical reviewer for Washington and West, a denials management company, I’ve seen documentation errors and omissions that clearly put hospitals and physicians at risk for denials. What’s more, as I review medical records from across the country, I’m starting to see patterns of errors at [...]]]></description>
		<wfw:commentRss>http://washingtonwest.com/resources/2010/06/top-5-physician-documentation-errors/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Making It Easy To Do The Right Thing</title>
		<link>http://washingtonwest.com/resources/2010/06/making-it-easy-to-do-the-right-thing/</link>
		<comments>http://washingtonwest.com/resources/2010/06/making-it-easy-to-do-the-right-thing/#comments</comments>
		<pubDate>Mon, 07 Jun 2010 09:00:00 +0000</pubDate>
		<dc:creator>kknitter</dc:creator>
				<category><![CDATA[Appeals]]></category>
		<category><![CDATA[Clinical Documentation Improvement]]></category>
		<category><![CDATA[HIM]]></category>
		<category><![CDATA[Health Information]]></category>
		<category><![CDATA[Talks]]></category>
		<category><![CDATA[denials]]></category>
		<category><![CDATA[appeal]]></category>
		<category><![CDATA[behavioral economics]]></category>
		<category><![CDATA[cases of pneumonia]]></category>
		<category><![CDATA[CDI]]></category>
		<category><![CDATA[CMS]]></category>
		<category><![CDATA[compliance]]></category>
		<category><![CDATA[denial]]></category>
		<category><![CDATA[denial management]]></category>
		<category><![CDATA[diagnosis]]></category>
		<category><![CDATA[doctor]]></category>
		<category><![CDATA[document]]></category>
		<category><![CDATA[documents]]></category>
		<category><![CDATA[expert groups]]></category>
		<category><![CDATA[harvard business review]]></category>
		<category><![CDATA[infectious diseases]]></category>
		<category><![CDATA[medical reviewer]]></category>
		<category><![CDATA[physician documentation]]></category>
		<category><![CDATA[RAC]]></category>

		<guid isPermaLink="false">http://washingtonwest.com/resources/2010/06/making-it-easy-to-do-the-right-thing/</guid>
		<description><![CDATA[ Written by Cynthia M. Lipsitz, MD, MPH
There’s a subject getting a lot of popular interest these days, called behavioral economics.
There have been some suggestions lately that this principle can be very useful in health care; in fact, an article in the Harvard Business Review in March of this year cited behavioral economics as one [...]]]></description>
		<wfw:commentRss>http://washingtonwest.com/resources/2010/06/making-it-easy-to-do-the-right-thing/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>What&#8217;s the Single Most Important Word in Medical Documentation?</title>
		<link>http://washingtonwest.com/resources/2010/06/whats-the-single-most-important-word-in-medical-documentation/</link>
		<comments>http://washingtonwest.com/resources/2010/06/whats-the-single-most-important-word-in-medical-documentation/#comments</comments>
		<pubDate>Tue, 01 Jun 2010 15:15:40 +0000</pubDate>
		<dc:creator>kknitter</dc:creator>
				<category><![CDATA[Appeals]]></category>
		<category><![CDATA[Clinical Documentation Improvement]]></category>
		<category><![CDATA[HIM]]></category>
		<category><![CDATA[Health Information]]></category>
		<category><![CDATA[denials]]></category>
		<category><![CDATA[appeal]]></category>
		<category><![CDATA[because]]></category>
		<category><![CDATA[cardiology]]></category>
		<category><![CDATA[chest pain evaluation]]></category>
		<category><![CDATA[clinical]]></category>
		<category><![CDATA[clinicals]]></category>
		<category><![CDATA[dehydration]]></category>
		<category><![CDATA[denial]]></category>
		<category><![CDATA[discharge]]></category>
		<category><![CDATA[doctors]]></category>
		<category><![CDATA[document]]></category>
		<category><![CDATA[documentation]]></category>
		<category><![CDATA[documents]]></category>
		<category><![CDATA[habits]]></category>
		<category><![CDATA[health]]></category>
		<category><![CDATA[information]]></category>
		<category><![CDATA[level]]></category>
		<category><![CDATA[medical necessity]]></category>
		<category><![CDATA[medical need]]></category>
		<category><![CDATA[physician]]></category>
		<category><![CDATA[physician documentation]]></category>
		<category><![CDATA[physicians]]></category>
		<category><![CDATA[progress]]></category>
		<category><![CDATA[progress note]]></category>
		<category><![CDATA[progress notes]]></category>
		<category><![CDATA[reasoning]]></category>
		<category><![CDATA[treatment]]></category>
		<category><![CDATA[treatment decisions]]></category>

		<guid isPermaLink="false">http://washingtonwest.com/?p=19</guid>
		<description><![CDATA[


If only physicians would make a habit of utilizing the word &#8220;because&#8221; in their documentation. I review medical records from our hospital clients across the country and get to see firsthand how poor physician documentation can lead to denials. Some doctors write fantastic progress notes, but others?  I can&#8217;t even tell if the patient is [...]]]></description>
		<wfw:commentRss>http://washingtonwest.com/resources/2010/06/whats-the-single-most-important-word-in-medical-documentation/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Is the Design and Utilization of Your Electronic Health Record Creating Denials?</title>
		<link>http://washingtonwest.com/resources/2010/05/are-the-design-and-utilization-of-your-electronic-health-record-creating-denials/</link>
		<comments>http://washingtonwest.com/resources/2010/05/are-the-design-and-utilization-of-your-electronic-health-record-creating-denials/#comments</comments>
		<pubDate>Tue, 18 May 2010 16:33:00 +0000</pubDate>
		<dc:creator>kknitter</dc:creator>
				<category><![CDATA[Appeals]]></category>
		<category><![CDATA[Clinical Documentation Improvement]]></category>
		<category><![CDATA[HIM]]></category>
		<category><![CDATA[Health Information]]></category>
		<category><![CDATA[denials]]></category>
		<category><![CDATA[acute inpatient care]]></category>
		<category><![CDATA[appeal]]></category>
		<category><![CDATA[audit medicaid]]></category>
		<category><![CDATA[commercial payer]]></category>
		<category><![CDATA[denial management]]></category>
		<category><![CDATA[documentation]]></category>
		<category><![CDATA[EHR]]></category>
		<category><![CDATA[Electronic Health Record]]></category>
		<category><![CDATA[health]]></category>
		<category><![CDATA[HIPAA]]></category>
		<category><![CDATA[information management]]></category>

		<guid isPermaLink="false">http://washingtonwest.com/resources/2010/05/are-the-design-and-utilization-of-your-electronic-health-record-creating-denials/</guid>
		<description><![CDATA[ Written by Cynthia M. Lipsitz, MD, MPH
As a physician reviewer for Washington &#38; West, a denials and appeal management firm, my job is to examine medical records closely for documentation that will help me write a strong appeal letter. In so doing, I have the opportunity to see medical records from many different hospitals [...]]]></description>
		<wfw:commentRss>http://washingtonwest.com/resources/2010/05/are-the-design-and-utilization-of-your-electronic-health-record-creating-denials/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>The Medicaid Integrity Program: The Difference $180 Million in Appropriations Makes</title>
		<link>http://washingtonwest.com/resources/2010/04/the-medicaid-integrity-program-the-difference-180-million-in-appropriations-makes/</link>
		<comments>http://washingtonwest.com/resources/2010/04/the-medicaid-integrity-program-the-difference-180-million-in-appropriations-makes/#comments</comments>
		<pubDate>Thu, 01 Apr 2010 15:00:00 +0000</pubDate>
		<dc:creator>kknitter</dc:creator>
				<category><![CDATA[MIC]]></category>
		<category><![CDATA[medicaid]]></category>
		<category><![CDATA[abuse]]></category>
		<category><![CDATA[appeal]]></category>
		<category><![CDATA[Appeals]]></category>
		<category><![CDATA[audit programs]]></category>
		<category><![CDATA[billing practices]]></category>
		<category><![CDATA[deficit reduction act]]></category>
		<category><![CDATA[denial]]></category>
		<category><![CDATA[denial management]]></category>
		<category><![CDATA[denials]]></category>
		<category><![CDATA[fiscal integrity]]></category>
		<category><![CDATA[fraud waste]]></category>
		<category><![CDATA[government audit]]></category>
		<category><![CDATA[management]]></category>
		<category><![CDATA[medicaid integrity program]]></category>
		<category><![CDATA[medicaid program]]></category>
		<category><![CDATA[medicare audit]]></category>
		<category><![CDATA[provider fraud]]></category>
		<category><![CDATA[RAC]]></category>

		<guid isPermaLink="false">http://washingtonwest.com/resources/2010/04/the-medicaid-integrity-program-the-difference-180-million-in-appropriations-makes/</guid>
		<description><![CDATA[ Written by Linda Fotheringill, Esq.
The Deficit Reduction Act of 2005 provided the resources to establish the Medicaid Integrity Program (MIP), the first national strategy in the 40-year history of the Medicaid program to promote the fiscal integrity of Medicaid by detecting and preventing provider fraud, waste and abuse.
This program has been a concern to [...]]]></description>
		<wfw:commentRss>http://washingtonwest.com/resources/2010/04/the-medicaid-integrity-program-the-difference-180-million-in-appropriations-makes/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>The Patient Protection and Affordable Care Act&#8217;s Mandate to Expand the RAC Program to Medicaid</title>
		<link>http://washingtonwest.com/resources/2010/04/the-patient-protection-and-affordable-care-acts-mandate-to-expand-the-rac-program-to-medicaid/</link>
		<comments>http://washingtonwest.com/resources/2010/04/the-patient-protection-and-affordable-care-acts-mandate-to-expand-the-rac-program-to-medicaid/#comments</comments>
		<pubDate>Thu, 01 Apr 2010 09:00:00 +0000</pubDate>
		<dc:creator>kknitter</dc:creator>
				<category><![CDATA[RAC]]></category>
		<category><![CDATA[medicaid]]></category>
		<category><![CDATA[Act]]></category>
		<category><![CDATA[affordable care]]></category>
		<category><![CDATA[audit]]></category>
		<category><![CDATA[audit medicaid]]></category>
		<category><![CDATA[care act]]></category>
		<category><![CDATA[contingency fees]]></category>
		<category><![CDATA[contingent basis]]></category>
		<category><![CDATA[GAO]]></category>
		<category><![CDATA[health care providers]]></category>
		<category><![CDATA[health care system]]></category>
		<category><![CDATA[MIC]]></category>
		<category><![CDATA[obama]]></category>
		<category><![CDATA[overpayments]]></category>
		<category><![CDATA[patient protection]]></category>
		<category><![CDATA[proposed health]]></category>
		<category><![CDATA[provider community]]></category>
		<category><![CDATA[public opinion polls]]></category>
		<category><![CDATA[reconciliation act]]></category>
		<category><![CDATA[reconciliation bill]]></category>
		<category><![CDATA[recovery audit]]></category>
		<category><![CDATA[ROI]]></category>

		<guid isPermaLink="false">http://washingtonwest.com/resources/2010/04/the-patient-protection-and-affordable-care-acts-mandate-to-expand-the-rac-program-to-medicaid/</guid>
		<description><![CDATA[ Written by Linda Fotheringill, Esq.
President Obama signed the Patient Protection and Affordable Care Act into law on March 23, 2010. Reaction has ranged from jubilation to threats of violence. Meanwhile, various public opinion polls conducted just prior to and after the enactment of this so called massive overhaul of the nation&#8217;s health care system [...]]]></description>
		<wfw:commentRss>http://washingtonwest.com/resources/2010/04/the-patient-protection-and-affordable-care-acts-mandate-to-expand-the-rac-program-to-medicaid/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>The CMS Contractor &#8220;Provider Tracking System&#8221;</title>
		<link>http://washingtonwest.com/resources/2009/10/the-cms-contractor-provider-tracking-system/</link>
		<comments>http://washingtonwest.com/resources/2009/10/the-cms-contractor-provider-tracking-system/#comments</comments>
		<pubDate>Wed, 28 Oct 2009 15:00:00 +0000</pubDate>
		<dc:creator>kknitter</dc:creator>
				<category><![CDATA[ALJ]]></category>
		<category><![CDATA[RAC]]></category>
		<category><![CDATA[administrative law judge]]></category>
		<category><![CDATA[appeal]]></category>
		<category><![CDATA[Appeals]]></category>
		<category><![CDATA[audit]]></category>
		<category><![CDATA[CMS]]></category>
		<category><![CDATA[denial]]></category>
		<category><![CDATA[denial management]]></category>
		<category><![CDATA[denials]]></category>
		<category><![CDATA[eligibility issues]]></category>
		<category><![CDATA[financial advantage]]></category>
		<category><![CDATA[management]]></category>
		<category><![CDATA[medicaid]]></category>
		<category><![CDATA[medical necessity]]></category>
		<category><![CDATA[medicare contractors]]></category>
		<category><![CDATA[medicare coverage]]></category>
		<category><![CDATA[MIC]]></category>
		<category><![CDATA[notifications]]></category>
		<category><![CDATA[provider]]></category>
		<category><![CDATA[provider compliance]]></category>
		<category><![CDATA[provider tracking]]></category>
		<category><![CDATA[referrals]]></category>
		<category><![CDATA[revenue]]></category>
		<category><![CDATA[suspension]]></category>

		<guid isPermaLink="false">http://washingtonwest.com/resources/2009/10/the-cms-contractor-provider-tracking-system/</guid>
		<description><![CDATA[ Written by Linda Fotheringill, Esq.
Providers have been scrambling to get their so-called RAC Tracking System in place. But did you know that Medicare Contractors are mandated by CMS to have a Provider Tracking System (PTS)?
The PTS is to assist with CMS’s overall goal of requiring Medicare contractors to analyze provider compliance with Medicare coverage [...]]]></description>
		<wfw:commentRss>http://washingtonwest.com/resources/2009/10/the-cms-contractor-provider-tracking-system/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
	</channel>
</rss>

