Q: If a consulting physician documents a diagnosis related to his or her specialty but the attending does not (instead simply documenting, “thank you for your assistance”) can the consulting physician’s documentation be used for coding purposes? My most experienced associate says we can...Read More »
Information management in EHRs. Implementation and use of clinical decision support. Test result reporting and follow-up. These concerns topped ECRI Institute’s list of patient safety concerns for 2017,...Read More »
Under the Affordable Care Act (ACA), providers have to recertify their Medicaid reimbursement eligibility. Because of this provision, more than 65,000 providers across 15 states lost their spots on the Medicaid roll, according to...Read More »
Radiation oncology services billed to CMS had a 9.6% improper payment rate in 2015, leading to Medicare improperly pay $137 million for these services, according to a study reported in the January 2016 Medicare Quarterly Compliance Newsletter,...Read More »
A False Claims Act lawsuit accuses UnitedHealthcare Group of a scheme which may have allowed its subsidiaries and other insurers to improperly overcharge Medicare by “hundreds of millions — and likely billions — of dollars,”...Read More »
More than a quarter of physician practices fell short of revenue goals in 2016, according to a poll released January 17 by the Medical Group Management Association,...Read More »