In 2022, insufficient documentation caused approximately 91% of improper payments by CMS, according to a report released by the United States Department of Health & Human...Read More »
The Office of Inspector General (OIG) recently completed an audit of CarePlus Health Plans, Inc., finding that 466 out of the 1,656 hierarchical condition category (HCC) codes reviewed could not be validated, according to a federal ...Read More »
We know that CDI teams and individual professionals do amazing things in their day-to-day work, making measurable differences for their organizations, colleagues, and their patient populations. To honor the work that your colleagues do every day, we encourage you to nominate them for our ACDIS...Read More »
Did someone mentor and guide you as you navigated through your career in CDI? Do you know someone who has dedicated their time to serving the CDI profession? When you think of what makes someone a truly stellar CDI professional, does one person come to mind?...Read More »
The Office of the Inspector General (OIG) recently concluded an audit aimed at determining whether significant cost savings could be realized for the Medicare program in post-acute care (PAC) discharge policy, according to a press...Read More »
In 2020, tax-exempt hospitals provided approximately $130 billion in total benefits to their surrounding communities, $57 billion of which was used for financial assistance for patients in need,...Read More »
Medicare Advantage (MA) overpayments have cost taxpayers approximately $88 billion per year (or 22% of 2022 MA spending levels), according to a new report.
The report, authored by the Physicians for a National Health Program (PNHP), suggested that Part B premiums or federal spending on...Read More »
