Physician evaluation and management (E/M) payments cost Medicare $32.3 billion in 2010—about 30% of all Part B payments that year—and of that amount, about $6.7 billion were incorrectly coded or documented, according to an Office of...Read More »
The Office of the Inspector General (OIG) found that Robert Packer Hospital in Sayre, Pa., part of Guthrie Health System, was overpaid $1.876 million, according to a new Medicare compliance review. An audit of nearly 300 claims submitted beween 2009 and...Read More »
Oakwood Hospital and Medical Center (the Hospital), in Dearborn, Mich., is the latest facility to fall under the sights of the Office of the Inspector General (OIG) for inappropriately assigning diagnosis code 260 for Kwashiorkor.Read More »
From calendar year 2008 to 2011, Medicare paid more than $65 billion for physician services. In each of these years, 2% of the physicians were responsible for almost 25% of all the payments—each receiving annual payments of approximately $1 million, according...Read More »
In a letter to CMS, more than 100 members of the House of Representatives asked the agency to consider “an alternative payment arrangement with [Recovery Auditors, formerly known as RACs] to ensure RACs are not improperly...Read More »
Contractors could use a little guidance from CMS to do a better job at reviewing medical records for electronic health record (EHR) problem areas. For example, clues within the progress notes, hand writing styles, and other attributes that help corroborate the authenticity of paper medical...Read More »
Cedars-Sinai Medical Center in Los Angeles receives nearly $300 million in Medicare “outlier” payments—more than any other hospital in the country, according to a Modern Healthcare analysis of data provided under a Freedom of Information Act request published in its November 23 article...Read More »
