Publicly reported hospital quality ratings frequently offer conflicting results, which may be misleading to stakeholders and patients, according to a new analysis published in the New England Journal of Medicine...Read More »
Findings from a CERT study show that insufficient documentation caused most improper payments for chiropractic services billed to Medicare in 2018, according to the ...Read More »
Providence Health & Services wasn’t the only one under fire from Integra Med Analytics. The firm also filed a suit alleging that Baylor Scott & White, a large Texas-based health system, wrongly billed Medicare for more than $61.8 million over seven years through the practice of upcoding...Read More »
by Alba Kuqi, MD, CICA, CCS, CDIP, CCDS, CRCR, CSMC
As of late April 2020 (roughly five months since the outbreak of the pandemic), there have been nearly a million confirmed COVID-19 cases and more than 55,000 deaths, resulting in a fatality rate of approximately 5.6%....Read More »
After months of consternation from the CDI community over CC/MCC downgrades included in the fiscal year (FY) 2020 inpatient prospective payment system (IPPS) proposed rule...Read More »