Radiation oncology services billed to CMS had a 9.6% improper payment rate in 2015, leading to Medicare improperly pay $137 million for these services, according to a study reported in the January 2016 Medicare Quarterly Compliance Newsletter,...Read More »
HealthGrades, the online healthcare provider rating service, released its widely read list of America's 50 and 100 Best Hospitals for 2017, with few changes seen from the 2016 list,...Read More »
The CMS ICD-10 Coordination and Maintenance Committee is meeting next week, March 7 and March 8, to discuss proposed code changes to ICD-10-CM and ICD-10-PCS. The committee is a federal committee comprised of representatives from CMS and the Centers for Disease Control and Perfection’s (CDC)...Read More »
Q: We are struggling with coders querying certain diagnosis because they feel there is conflicting documentation in the record, and then we are “losing” that diagnosis. For example, the physician documents acute respiratory failure a couple of...Read More »
A False Claims Act lawsuit accuses UnitedHealthcare Group of a scheme which may have allowed its subsidiaries and other insurers to improperly overcharge Medicare by “hundreds of millions — and likely billions — of dollars,”...Read More »
