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 »
An OIG audit of the University of Michigan Health System revealed noncompliance with four types of inpatient claims, including those associated with the billing of high-severity-level MS-DRGs.Read More »
Sixty-one percent of the selected claims for outpatient physical therapy services did not comply with Medicare medical necessity, coding, and/or documentation requirements.Read More »
