UnitedHealthcare hopes newly added data analytics will bolster its efforts related to social determinants of health (SDOH), its Chief Consumer Officer, Rebecca Madsen, MBA, told ...Read More »
John Peter Smith Hospital in Tarrant County, Texas, has agreed to pay $3.3 million in order to settle allegations that it was in violation of the False Claims Act by upcoding certain claims....Read More »
Most Americans believe nurses and healthcare aides are underpaid, according to a new study about the public's attitude toward healthcare and its workers,...Read More »
Private healthcare insurers who administer Medicare Advantage plans will have to repay overpayments they receive in spite of incorrect diagnoses, according to a Washington, D....Read More »
I’ve heard that the geometric length of stay (GMLOS) is always rounded to the nearest whole number as inpatient claims are paid by day. Based on my understanding of the inpatient prospective payment system (IPPS), I thought that each inpatient stay is paid by a fixed amount, regardless of the...Read More »