Cecilia Guardiola, RN, resigned from her position as corporate director of CDI after three months over concerns that Banner Health seemed to be billing Medicare improperly.Read More »
CDI professionals working to help the appeal process need to make sure they have all supporting documents previously collected, immediately available. This ensures that all potential counterarguments are considered and increases the...Read More »
An OIG audit of the University of Michigan Health System revealed noncompliance with four types of inpatient claims, including those associated with the billing of high-severity-level MS-DRGs.Read More »
Q:We’ve encountered audit takebacks and denials from a certain payer who removed codes and procedures that result in lower DRGs. Do you have any advice for fighting or preventing these types of denials?Read More »
Medicare incorrectly paid approximately $1.7 million to Carolinas Medical Center in Charlotte, North Carolina, as a result of incorrect billing on the part of the medical center.Read More »
