Hospitals on average misidentify between 7% and 10% of incoming patients when registration staff search the electronic health record (EHR) database for patient records, according to Becker's Hospital CFO.Read More »
$14.2 million. That’s what Medicare paid New York-Presbyterian Hospital in overpayments for 123 claims because the hospital did not have “adequate controls to prevent the incorrect billing of Medicare claims,” according to the Office of the Inspector General (OIG).Read More »
Recovery Auditor medical record requests and automated and complex denials all fell slightly in the first quarter of 2016, as did the average number of medical record requests per hospital, which decreased slightly since the fourth quarter of 2015, according to the latest RACTrac report...Read More »
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 »
