DaVita Medical Holdings, a subsidiary of the dialysis company DaVita Inc., will pay $270 million to settle allegations that they incorrectly inflated certain Medicare Advantage reimbursements above the fixed, risk-adjusted rate owed for care.Read More »
According to a recent study published in the JAMA, Medicare penalties for above-average readmission rates among patients with AMI, heart failure, and pneumonia do not seem to have affected mortality rates either in-hospital or after discharge.Read More »
Over the past five months, thousands of patients have received notices from several insurance companies that Panos had posed as another doctor in order to review their medical records in coverage disputes.Read More »
Hospitals may be better at preventing early readmissions but outpatient clinics and home-based interventions are better for preventing late readmissions, according to...Read More »
Clinicians working in ambulatory surgical centers may soon have more discretion over when to conduct comprehensive medical H&Ps, if CMS’ proposed changes to the Medicare Conditions of Participation and Conditions for Coverage are implemented.Read More »
by Denise Wilson, RN, MS, RRT, and Karla Hiravi, RN, BSN
Facility appeal writers must craft piles of appeals, with virtually no time to investigate the accuracy of payer denials. However, understanding the appeal process is crucial.Read More »
As part of the eighth annual Clinical Documentation Improvement Week, ACDIS has conducted a series of interviews with CDI professionals on a variety of emerging industry topics. Mindy Davis, RHIT, CDIP, CCS, director of HIM and CDI at Rutherford (North Carolina) Regional Health System in...Read More »
By Trey La Charité, MD, FACP, SFHM, CCDS
Over the years, Congress passed numerous pieces of legislation to limit healthcare spending, combat losses due to fraud, and ensure that dollars spent truly benefit the American population with quality care. Numerous watchdog programs...Read More »
