Physician evaluation and management (E/M) payments cost Medicare $32.3 billion in 2010—about 30% of all Part B payments that year—and of that amount, about $6.7 billion were incorrectly coded or documented, according to an Office of...Read More »
The announcement that ICD-10 would be delayed once again made waves throughout the healthcare industry. In the wake of the passing of the Protecting Access to Medicare Act of 2014, which spurred the delay, CMS released a statement announcing that it canceled ICD-10 end-to-end testing.Read More »
The Office of the Inspector General (OIG) found that Robert Packer Hospital in Sayre, Pa., part of Guthrie Health System, was overpaid $1.876 million, according to a new Medicare compliance review. An audit of nearly 300 claims submitted beween 2009 and...Read More »
The new ICD-10-CM/PCS implementation date looks to be October 1, 2015. CMS mentioned October 1, 2015, as the new date three times in the IPPS Proposed Rule, released April 30. The following day, CMS released a statement verifying its plan for an October 1, 2015, implementation.Read More »
The American Hospital Association (AHA) along with four hospital associations and several hospitals filed two complaints April 14 in opposition of CMS’ 2-midnight rule for inpatient admissions,...Read More »
Oakwood Hospital and Medical Center (the Hospital), in Dearborn, Mich., is the latest facility to fall under the sights of the Office of the Inspector General (OIG) for inappropriately assigning diagnosis code 260 for Kwashiorkor.Read More »
