DaVita Medical Holdings, a subsidiary of the dialysis company DaVita Inc., will pay $270 million to settle allegations that they incorrectly inflated certain Medicare Advantage reimbursements above the fixed, risk-adjusted rate owed for care.Read More »
Over the past five months, thousands of patients have received notices from several insurance companies that Panos had posed as another doctor in order to review their medical records in coverage disputes.Read More »
In 2012, more than 50% of CDI professionals reportedly earned $69,999 or less. By last year’s salary survey results, however, those earning the lowest salaries ($59,999 or less) fell to just 6%.Read More »
Clinicians working in ambulatory surgical centers may soon have more discretion over when to conduct comprehensive medical H&Ps, if CMS’ proposed changes to the Medicare Conditions of Participation and Conditions for Coverage are implemented.Read More »
The new poll asks what organizations expect CDI programs’ ROI to be annually and offers a range of financial ranges to choose from—from less than $100,000 to more than $5 million....Read More »
Along with quality measure removals in the 2018 OPPS and MPFS final rules, CMS continues to propose additional removals in its proposals for 2019 and it wants greater flexibility to remove quality measures in the future.Read More »
Last week, CMS released a report on the first-year performance of the agency’s Next Generation ACO model. For the 2016 performance year, the model generated net savings for Medicare of about $62 million while...Read More »
