For calendar years (CYs) 2012 and 2013, Medicare overpaid Nebraska Methodist Hospital in Omaha more than $111,000 for 19 inpatient and outpatient claims, including insufficiently documented sepsis and septic syndrome.Read More »
Back in the day (oh, about nine years or so ago), I found myself tucked into my office late into a Thursday evening skimming the tome that was the Office of the Inspector General’s annual Work Plan release. TheWork Plan is—just as its name implies—an outline or agenda of...Read More »
This isn’t the first time we’ve heard about hospitals billing for Kwashiorkor, a form of severe protein malnutrition typically found in third-world countries that is extremely rare in the United States.Read More »
$2.3 billion. That’s what the HHS Office of the Inspector General (OIG) and the Department of Justice (DOJ) earned back from healthcare fraud judgments and settlements in fiscal year 2014, according to a March 19 report.Read More »
Three university hospitals saw a doubling of Recovery Auditor (RAC) audit activity from 2010–2011 to 2012–2013, and a nearly three-fold increase in overpayment determinations, according to a new study in the Journal of Hospital Medicine.Read More »
For calendar years (CYs) 2010 and 2011, Medicare paid hospitals $711 million for claims that included a diagnosis code for Kwashiorkor, a form of severe protein malnutrition typically found in third-world countries that is extremely rare in the United States.Read More »
The Department of Justice (DOJ) recovered $5.69 billion in False Claims Act settlements in fiscal year (FY) 2014; $2.3 billion of which against federal healthcare programs,...Read More »
