The Health and Human Services (HHS) Office of Inspector General (OIG) has announced its plan to audit hospitals for severe malnutrition diagnosis codes on inpatient claims.
Fourth quarter reports for insurance providers in the U.S. spotlight UnitedHealth Group as the most profitable payer of 2021—at $17.3 billion, more than double the profit of the next closest competitor, and owning almost half of the total profit of six major insurers.
SCAN Health Plan received nearly $55 million in overpayments for 164 unvalidated HCCs out of a 1,577 sample for 2015, according to an Office of the Inspector General (OIG) audit. The audit looked to verify diagnosis codes for...Read More »
According to the January 2022 Physician Flash Report by Kaufman Hall, in 2021 physician practices saw a rise in patient volume, productivity, and revenue. The performance in these...Read More »
