“Publicly marketed hospital rating systems of surgical quality such as the US News & World Report ‘America's Best Hospitals’ and HealthGrades...Read More »
Recovery Audit Contractors (RAC) reported doubled its recovery amounts since last quarter—$167 million in denials during the first quarter of 2011...Read More »
A mandate of the Affordable Care Act, CMS’ value-based purchasing (VBP) program will begin in fiscal year 2013, applicable to discharges occurring...Read More »
Nearly 500 healthcare quality professionals indicated that staffing shortages could be the biggest issue facing quality initiatives in the US,...Read More »
Improper coding of MS-DRG 813 (coagulation disorders), reporting an extensive operating room procedure unrelated to principal diagnosis (MS-DRGs...Read More »
Since the inception of the permanent recovery audit contractor (RAC) program, government auditors have identified claims errors in excess of $350...Read More »
In response to President Barack Obama’s January 18 executive order aimed at reducing federal regulatory burdens, the American Medical Association...Read More »
