CMS and the OIG will conduct a two-part study to assess inpatient hospital billing due to unspecified upcoding in hospital billing—either accidentally or intentionally reporting higher severity codes than supported by documentation to increase payment.Read More »
Findings from a retrospective analysis of inpatient data recently shows that average hospital costs and mortality rates are significantly higher for patients diagnosed with sepsis after hospital admission when compared with patients...Read More »
The federal government has intervened in a lawsuit against Sutter Health, taking the side of a whistleblower who claims the nonprofit health system inflated the risk scores of Medicare Advantage plan enrollees to secure higher risk-adjusted payments.Read More »
The AHA, the Association of American Medical Colleges, Mercy Health Muskegon, Olympic Medical Center, and York Hospital sued the Trump administration last week over...Read More »
In FY 2018, 57% of hospitals earned Medicare incentive payments under the Hospital Value-based Purchasing Program. In FY 2019, that number will decline to 55%, or roughly 1,550 hospitals.Read More »
Among patients ages 65 years and older, the rate of opioid-related hospitalizations increased more than the rate of non-opioid-related hospitalizations between 2010 and 2015.Read More »
