Florida: Reservations for the upcoming Florida ACDIS Chapter meeting slated for Saturday, September 15, 9 a.m. to 4 p.m., at Baptist Health in Jacksonville, are due September 3. The last call for nominations for new Florida ACDIS Chapter leadership is Wednesday, September 5. Only one...Read More »
A recent Office of the Inspector General report found PacifiCare of Texas received $115 million in CMS overpayments. The OIG reviewed 100 sample cases and found 43 claims with incorrect payments. According to the report,...Read More »
The 2012 CDI Salary Survey garnered more than 900 responses. In general, the results mirror those from previous years. (ACDIS members can read the complete report in the July edition of the CDI...Read More »
CMS recently posted two separate sets of data that provide nationwide statistics on its Recovery Auditor program. The first update contains improper payment figures as well as the top Recovery Auditor issue per region. In the second update, CMS provides appeals statistics for fiscal year 2011....Read More »
Over a nine-year period, from 2001 to 2010, physicians increased billing of higher level evaluation and management (E/M) codes in all types of E/M services, according to an Office of the Inspector General (OIG) report released in May...Read More »
The Office of the Inspector General (OIG) pointed to deficiencies in CMS’ oversight of Zone Program Integrity Contractors (ZPICs), indicated that Comprehensive Error Rate Testing (CERT) program calculations could be more accurate, and pointed to unaddressed contractor-identified vulnerabilities...Read More »
A Maryland hospital allegedly added malnutrition as a secondary diagnosis, employing tactics that included the submission of leading queries to increase reimbursement, according to...Read More »
