News

The American Health Information Management celebrated the induction of its new chief executive...Read More »

Case management departments across the country celebrate National Case Management Week October 9 to October 15....Read More »

On September 14, CMS released its Medicaid recovery audit contractor (RAC) final...Read More »

Being described as "worse" in a CMS HospitalCompare data file is a dubious distinction. 

To make up a gap in expected overpayment collections Recovery Audit Contractors may escalate audit activities in the coming months,...Read More »

“CMS faces challenges incorporating resource use and quality measures for physician feedback reports that are meaningful, actionable, and reliable...Read More »

Trying to convince physicians that good documentation has “something in it for them” is a battle that CDI specialists fight each day. But a new...Read More »

$8.9 million. That is the amount Kentucky-based Baptist Healthcare Systems, Inc., had to pay as of September 1 to settle claims of improper...Read More »

Out of 88 claims for MS-DRG 246 (percutaneous cardiovascular procedure with drug-eluting stent with MCC or 4+ vessels/stents with a length of stay...Read More »

In January facilities should expect to receive Recovery Audit Contractors (RAC) demand letters not from the RAC itself but from their Medicare...Read More »