CMS had a 71.3% improper payment rate for surgical dressings in 2017, accounting for 0.3% or $126 million of the overall Medicare FFS improper payment rate that year, according a CERT report in...Read More »
Last week, CMS proposed major changes to the FY 2019 Physician Fee Schedule and the Quality Payment Program, some of which could change the E/M documentation requirements.Read More »
CMS announced on Saturday that all payments to insurers under the risk-adjustment program, including payments for the 2017 benefit year, will be suspended pending the...Read More »
Debra Conrad filed a lawsuit in the U.S. District Court for the Western District against Heartland Regional Medical Center, also known as Mosaic Life Care, alleging wrongful termination for raising concerns about fraudulent billing practices.Read More »
Last week, CMS announced new initiatives to improve Medicaid program integrity “through greater transparency and accountability, strengthened data, and innovative and robust analytic tools."Read More »
