The Department of Health and Human Services and the Department of Defense accused Baltimore-based Kernan Hospital, a part of the University of Maryland Medical System, of inappropriately billing “protein malnutrition” as “kwashiorkor”—a $1.6 million potential error that could ultimately cost the...Read More »
$8.9 million. That is the amount Kentucky-based Baptist Healthcare Systems, Inc., had to pay as of September 1 to settle claims of improper billing related to respiratory infections and inflammations, pulmonary edema (fluid accumulation in the lungs), respiratory failure, and septicemia (blood...Read More »
It started with two courageous coders who knew the query process where they worked at Johns Hopkins Bayview Medical Center, Inc., in Baltimore, wasn't quite right--or compliant.
Specifically, the hospital employed a physician who worked in the billing department to review clinical...Read More »
Healthcare providers in the A/B MAC jurisdiction 1 have a problem—a paid claims error rate that’s nearly twice the national average for Part B claims, according to a recent letter from...Read More »
The number of septicemia and sepsis hospitalizations more than doubled between 2000 and 2008, resulting in much longer, costlier hospitals stays, and more problematic and often fatal outcomes for patients with the bloodstream infections, according to a...Read More »
