2024. Thirteen years. That’s how long Medicare’s trust fund is expected to last, according to the 2011 Annual Report of the Boards of Trustees of the Federal Hospital Insurance and Federal Supplementary Medical Insurance...Read More »
Recovery Audit Contractors (RAC) reported doubled its recovery amounts since last quarter—$167 million in denials during the first quarter of 2011 up from $86 million reported during the last quarter of 2010,...Read More »
A mandate of the Affordable Care Act, CMS’ value-based purchasing (VBP) program will begin in fiscal year 2013, applicable to discharges occurring as of October 1, 2012, according to the program final rule and...Read More »
Since the inception of the permanent recovery audit contractor (RAC) program, government auditors have identified claims errors in excess of $350—$313.2 million of which were identified as overpayments and recouped by the government. ...Read More »
Recovery Audit Contractors (RAC) denied $86 million in claims in 2010—more than double the $42 million reported in the third quarter. Medically unnecessary services accounted for 57% of the denials, with 33% of these for short stay patients, according to the American Hospital Association’s (AHA...Read More »
Nearly 550 CDI professionals have registered to attend the 4th Annual ACDIS Conference in Orlando, April 7–8. That means more of your peers will be available to network with, share experiences with, and learn from. It also means that those who have already made their reservations have booked up...Read More »
The Department of Health and Human Services (HHS) called it the largest healthcare fraud sting in history. On February 17, the Medicare Fraud Strike Force charged 111 defendants in nine cities, including doctors, nurses, healthcare company owners and executives, and others, for alleged...Read More »
If the data is true, the population of a couple of concentrated areas in California suffer from kwashiorkor syndrome, a type of malnutrition typically seen among children in third-world countries, according to...Read More »
