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 »
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 »