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 »
Q:Our facility does not retain written queries in the medical record, but I’ve heard that other hospitals do. Is this something we should consider? Read More »
The OIG greenlit a pilot program to share patient discharge data with pharmacists in an effort to improve care planning and decrease readmissions.Read More »
Upon reviewing 2,145 inpatient claims at 25 providers, the Office of Inspector General (OIG) found that all but one claim incorrectly included the diagnosis code for kwashiorkor. This resulted in overpayments in excess of $6 million, according to...Read More »