CMS released the fiscal year (FY) 2018 IPPS final rule on Wednesday, August 2, updating Medicare payment and polices for patients discharged from hospitals from October 1, 2017, to September 30, 2018.Read More »
The Department of Justice (DOJ) and the Department of Health and Human Service Office of Inspector General announced on Thursday, July 13, charges against 412 individuals responsible for $1.3 billion in false billing. This fraud takedown is the largest in DOJ history,...Read More »
The Mayo Clinic Health System recently began a $1.5 billion electronic health record (EHR) rollout which will affect all 70 of the system’s facilities and 51,000 employees across the country, according to...Read More »
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 »
