The Department of Justice (DOJ) recovered $5.69 billion in False Claims Act settlements in fiscal year (FY) 2014; $2.3 billion of which against federal healthcare programs,...Read More »
Preliminary estimates for 2013 show a 9% decline in the rate of hospital-acquired conditions (HACs) from 2012 to 2013, and a 17% decline, from 145 to 121 HACs per 1,000 discharges, from 2010 to 2013,...Read More »
Note: AHIMA is calling for grassroots action supporting the 2015 ICD-10-CM/PCS implementation date after a letter addressed to the House of Representatives Speaker John A. Boehner, circulated Congress calling for another two-year delay. ACDIS stands behind AHIMA in its...Read More »
The Government Accountability Office (GAO) found that while CMS’ transparency tools such as its Hospital and Physician Compare websites “provide some clinical quality information relevant to consumers, they often lack condition-specific information for the type of non-urgent procedures that...Read More »
Every October, the Office of the Inspector General (OIG) hands the public a cheat sheet of sorts—its annual Work Plan—releasing its list of audit targets for the coming calendar year. Sometimes its priorities echo those from previous years, other times they...Read More »
Inpatient admissions for patients undergoing cardiovascular procedures such as implants of stents and pacemakers and elective kyphoplasty procedures appears to be the culprit behind a $37 million dollar False Claims Act settlement between the government and Dignity Health,...Read More »
As the adage goes “a picture’s worth a thousand words” but for facilities wrangling with the Office of the Inspector General (OIG) the adage might better be rephrased to “a sample’s worth a million dollars,” as the agency extrapolates payment errors to the sum of more than $400,000 related to...Read More »
