DaVita Medical Holdings, a subsidiary of the dialysis company DaVita Inc., will pay $270 million to settle allegations that they incorrectly inflated certain Medicare Advantage reimbursements above the fixed, risk-adjusted rate owed for care.Read More »
The end of last week brought news of a lawsuit that appears to have broad and deep ramifications for the CDI profession. Providence Health & Services, a 34-hospital system headquartered in Renton, Washington, has been hit with a $188.1 million lawsuit for...Read More »
Only months after eClinicalWorks was sued for nearly $1 billion over inaccurate and unreliable data, the OIG fined the software company $132,500 for failing to report patient safety issues with its...Read More »
Last week, CMS announced new initiatives to improve Medicaid program integrity “through greater transparency and accountability, strengthened data, and innovative and robust analytic tools."Read More »
The diagnosis of malnutrition has long been in the sights of the Office of Inspector General (OIG) for audits and denials. In fact, just as recently as December 2017, the OIG found...Read More »
Cecilia Guardiola, RN, resigned from her position as corporate director of CDI after three months over concerns that Banner Health seemed to be billing Medicare improperly.Read More »
