This morning, two OIG representatives, Truman Mayfield, CPA, CPE, and Scott Perry, CPA, took the stage to discuss the OIG’s Work Plan, audit activities, and offer some words of wisdom (and perhaps consolation) to those under OIG scrutiny. To kick off the session, Mayfield discussed the ins and...Read More »
This morning, Natalie Stavas, MD, took the stage to kick off the 12th annual ACDIS conference in Kissimmee, Florida, by sharing her story of running toward chaos. On April 15, 2013, Stavas was running the Boston Marathon when two bombs detonated at the finish line. With only a moment’...Read More »
This new paper from Elsevier, defines the process of DRG validation and how it can benefit provider organizations by ensuring that the correct information is communicated the first time.Read More »
Essence Healthcare Inc., a health maintenance organization (HMO) with a Medicare contract based in Missouri and Southern Illinois, submitted incorrect claims for acute stroke and major depressive disorder that did not comply with federal requirements, resulting in $158,000 in overpayments to...Read More »
In a recent blog post, CMS Administrator Seema Verma highlighted progress in reducing provider complaints related to the Medicare RAC program and the associated backlog of...Read More »
Earlier this week, CMS announced the introduction of the CMS Primary Cares initiative, a voluntary, risk-based initiative to transform primary care to a value-based system that rewards physicians who keep patients healthy and out of the hospital.Read More »
