The ongoing VA efforts to modernize their electronic health record (EHR) system will likely cost between $1 billion and $2.6 billion more than originally estimated, according to an audit performed by the Veterans Affairs’ (VA)...Read More »
It may seem logical, but clinical judgement—or mistakes thereof—represents a serious concern in relation to malpractice suits according to a CRICO Strategies study, MedPage Today reported. Diagnosis-related malpractice cases cost nearly $2 billion, in commercial liability payouts....Read More »
More than $3 million could be owed by Anthem, according to an Office of Inspector General (OIG) audit. Anthem reportedly submitted unsupported diagnosis codes for “123 of the 203 enrollee-years,” for seven high-risk groups....Read More »
The Office of Inspector General (OIG) performed a provider compliance audit of the Virtua Our Lady of Lourdes Hospital and found that the hospital received overpayments of approximately $4.8 million between January 1, 2016 and...Read More »
Hospitals that successfully participate in the Hospital Inpatient Quality Reporting program and are meaningful EHR users could see a 2.8% payment increase, if the...Read More »
A Humana health plan in Florida overcharged Medicare by nearly $200 million in 2015 by incorrectly billing for high severity hierarchical condition categories (HCC) that were not supported, according to...Read More »
Sunrise Hospital & Medical Center in Winchester, Nevada, submitted Medicare claims for rehabilitative services that did not comply with Medicare billing requirements,...Read More »
