Carolinas Healthcare System (CHS) agreed to pay $6.5 million to settle allegations of a years-long practice of upcoding urine drug tests, the Office of...Read More »
The first ever ACDIS Symposium: Outpatient CDI event is only 63 days away. The event takes place September 18-19 at the Hilton Oak Brook Resort and Conference Center in Oak Brook, Illinois. With the event just around the...Read More »
Appeals cost providers roughly $118 per claim—extrapolated nationwide that amounts to as much as $8.6 billion in administrative costs necessary to recover initially denied claims, according to a new report from Change Healthcare,...Read More »
CMS may have paid $729 million in electronic health record (EHR) incentive payments that didn’t comply with the federal standards between May 2011 and June 2014, according to the Office of Inspector General (OIG),...Read More »
Freedom Health and Optimum Healthcare, two large health insurers based in Florida, are paying $32.5 million to resolve a federal and state investigation into claims they defrauded CMS by submitting risk adjustment scores that improperly inflated their Medicare Advantage reimbursement,...Read More »
About 41% of CDI programs currently review medical records for quality improvement items, according to an online ACDIS membership poll. Although CMS implemented the Value-Based Purchasing (VBP) reimbursement model as required by the Affordable Care Act (ACA) in 2011, many CDI programs have only...Read More »
In 2016, salaries of those in the $70,000–$79,999 range rose by just 2%, as did those earning $80,000–$89,999 (which grew from 15% to 17%). Those earning less than $69,999 remained the same at about 26%, and the number of those earning $59,999 or less increased by a little over 2%. But as...Read More »
