CMS issued a final rule last week to revamp the way it pays for tests under the Clinical Laboratory Fee Schedule (CLFS). Now starting January 1, 2018, CMS will base CLFS payments on the weighted median amount paid by private payers for the same services. Providers are hopeful that these new...Read More »
Physician engagement is a lot like football, or so says Richard E. Wild, MD, JD, MBA, FACEP, Chief Medical Officer for the Atlanta Region Centers for Medicare and Medicaid (CMS). “You can be a great quarterback, but if you have no team backing you up and supporting you, you’re...Read More »
The Office of the Inspector General (OIG) continues to target fraudulent Kwashiorkor claims. This time, the agency found Cornerstone Hospital of Bossier City, Louisiana, was overpaid $321,971 for inpatient claims. OIG audited 73 of the 189 claims with Kwashiorkor submitted by the 62-bed long-...Read More »
Effective July 1, 2016, ACDIS will institute a policy and penalty fee for late Certified Clinical Documentation Specialist (CCDS) recertification.Read More »
The online local chapter pages offer a wealth of information for those interested in getting to know CDI professionals from their state. In addition to the upcoming events listed below, you’ll find an actual calendar of events around the country and an interactive map which connects visitors to...Read More »
Evaluation and management (E/M) services payments—the principal payment method for physicians—resulted in a projected $4.5 billion in improper Medicare payments in 2014, accounting for 9.3% of the overall improper payment rate for Medicare fee-for-services, according to the April 2016 Medicare...Read More »
