The World Health Organization (WHO) officially released ICD-10 2022, the official 11th revision of the International Classification of Disease (ICD) coding set. According to the release, “all Member States are...Read More »
Fourth quarter reports for insurance providers in the U.S. spotlight UnitedHealth Group as the most profitable payer of 2021—at $17.3 billion, more than double the profit of the next closest competitor, and owning almost half of the total profit of six major insurers.
SCAN Health Plan received nearly $55 million in overpayments for 164 unvalidated HCCs out of a 1,577 sample for 2015, according to an Office of the Inspector General (OIG) audit. The audit looked to verify diagnosis codes for...Read More »
According to the January 2022 Physician Flash Report by Kaufman Hall, in 2021 physician practices saw a rise in patient volume, productivity, and revenue. The performance in these...Read More »
