Accused of misreporting malnutrition in a January 2017 OIG audit, Vidant Medical Center, a 909 bed acute care teaching hospital, fought back with a collaborative rebuttal of the findings published alongside the original audit results.Read More »
In the latest twist of the ongoing saga of Medicare claims denials and appeals, the U.S. District Court for the District of Columbia ordered Medicare must clear its backlog, which currently approaches one million claims,...Read More »
Every year the Office of the Inspector General (OIG) publishes a list of its audit targets for the following calendar year. Although this hefty tome tops 100 pages, it’s worth a review to ensure the OIG’s targets aren’t diagnoses and documentation trouble spots at your facility.Read More »
Physicians often ask why documentation matters to them. Last week, CMS sent out a reminder regarding the importance of complete and accurate documentation related to physician evaluation and management (E/M) codes.Read More »
$14.2 million. That’s what Medicare paid New York-Presbyterian Hospital in overpayments for 123 claims because the hospital did not have “adequate controls to prevent the incorrect billing of Medicare claims,” according to the Office of the Inspector General (OIG).Read More »
