Essence Healthcare Inc., a health maintenance organization (HMO) with a Medicare contract based in Missouri and Southern Illinois, submitted incorrect claims for acute stroke and major depressive disorder that did not comply with federal requirements, resulting in $158,000 in overpayments to...Read More »
There are only a few more days left to get a discounted hotel room rate for the ACDIS Conference. Reserve your room by Monday, April 29, to take full advantage of the discount. The conference takes place May 20-23 at the Gaylord Palms Resort...Read More »
A couple weeks ago when ACDIS Director Brian Murphy was asked what’s new about this year’s conference. He replied “everything.” If you’re still on the fence and haven’t committed to coming this year,...Read More »
Sacramento-based Sutter Health LLC and several affiliates will pay $30 million to settle allegations that they were overpaid after submitting inflated information about the dire...Read More »
Insufficient documentation led to approximately $23 billion in improper Medicare payments in FY 2017, the GAO said in a March 27 report. GAO recommended that CMS assess and strengthen documentation requirements and medical reviews to more...Read More »
The ACDIS conference serves as the centerpiece of our year—an opportunity to see friends both old and new, hear from industry-expert speakers, and come back home rejuvenated from the palpable excitement of the event with new ideas for articles, resources, and...Read More »
CareWell Urgent Care Centers, which operates 16 urgent care centers in Massachusetts and one in Rhode Island, has agreed to pay $2 million to settle whistleblower allegations that the company submitted inflated and upcoded claims to Medicare and Medicaid, according to the...Read More »
Next week (Wednesday, March 27), I’ll be taking my CDI State of the Industry virtual road show to California and Minnesota (see the listing of local chapter upcoming events). Every year, I work with the ACDIS editorial and administrative teams to delve into...Read More »
