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 »
The Department of Health and Human Services (HHS) recovered nearly $4.1 billion in taxpayer dollars in Fiscal Year (FY) 2011 thanks to its increased healthcare fraud prevention and enforcement efforts, according to a recent...Read More »
The 5th Annual ACDIS Conference early registration cutoff date is next Friday, March 9. This year's conference will be held at the Manchester Grand...Read More »
