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 »
My family goes all out for St. Patrick’s Day. Dad has green suspenders with day-glow green shot glasses. Mom has a Dr. Seussian green and white top hat. My nephew wears a green plaid fedora. There’s green beer, traditional corned beef and cabbage, the...Read More »
Medicare incorrectly paid approximately $1.7 million to Carolinas Medical Center in Charlotte, North Carolina, as a result of incorrect billing on the part of the medical center.Read More »
Lately, it seems as if every CMS update includes the initiative to “reduce the regulatory burden.” Outside of CMS, the American Hospital Association (AHA) and other provider led groups also...Read More »
Those who’ve worked in CDI or healthcare compliance for any length of time typically prepare themselves for the annual October release of the OIG's Work Plan. The thousand-plus-page document outlines OIG...Read More »
