A trial court judge ruled on November 1 that the Department of Health and Human Services (HHS) must eliminate the Medicare appeals backlog by 2022. At the time of the ruling,...Read More »
Auditors could be able to extrapolate findings to larger pools of claims, according to a CMS proposed rule. An auditor could pull 30 claims, find a total overpayment of $1,000, which would mean an average...Read More »
Two physicians and three nurses were sentenced last week in a $11.3 million Medicare fraud scheme involving false and fraudulent claims for home health services, the OIG...Read More »
Nearly $300 million in awards could help provide scholarships and loan repayment services for healthcare providers in an effort to expand the workforce, according to a press...Read More »
The number of upcoded cases for patients who underwent gastrointestinal (GI) surgeries increased over a 10-year period, according to a retrospective study conducted by researchers at Johns Hopkins University...Read More »
