Medical necessity for cardiovascular procedures is the top overpayment issue for three out of the four Recovery Auditors in FY 2013 first quarter (October 2012–December 2012), according to the most recent release of...Read More »
New guidelines published in the May 2012 Journal of the Academy of Nutrition and Dietetics represents a consensus statement of the American Academy of Nutrition and Dietetics (the Academy) and the American Society for Parental and Enteral Nutrition...Read More »
Recovery Auditors (previously called Recovery Audit Contractors [RAC]) saved Medicare nearly $500 million in Fiscal year (FY) 2011, according to...Read More »
The American Hospital Association (AHA) released two fact sheets this month highlighting the plight of inadequate hospital reimbursements by the government. In one, the AHA states that Medicare and Medicaid underpaid...Read More »
Dozens of area CDI professionals are gathering for networking and educational opportunities around the country in January and February. Why not join them?Read More »
Across the country, 106 new Medicare Shared Savings Program Accountable Care Organizations (ACOs) began operation this month, according to a CMS Blog post by Jonathan Blum, CMS Acting Principal Deputy Administrator and...Read More »
New York City’s Health and Hospitals Corporation represents the nation’s largest public health system, with more than a million ER visits a year,...Read More »
The fight over medical necessity continued last week as the American Hospital Association and its four co-plaintiffs asks courts to “expedite” a lawsuit against U.S. Department of Health and Human Services (HHS) for unfair Medicare practices pertaining to the Recovery Auditor program.
