Over a nine-year period, from 2001 to 2010, physicians increased billing of higher level evaluation and management (E/M) codes in all types of E/M services, according to an Office of the Inspector General (OIG) report released in May...Read More »
The Office of the Inspector General (OIG) pointed to deficiencies in CMS’ oversight of Zone Program Integrity Contractors (ZPICs), indicated that Comprehensive Error Rate Testing (CERT) program calculations could be more accurate, and pointed to unaddressed contractor-identified vulnerabilities...Read More »
Review Medicaid Integrity Contractors (MICs) completed 81% of their CMS assignments resulting in potential $282 million in possible recoveries for Jan. 1, 2010, to June 30, 2010, according to a February OIG report...Read More »
Boston’s Beth Israel Deaconess hospital is the latest facility to succumb to investigations regarding potentially inappropriate billing for inpatient services, according to a February 6 article in...Read More »
The auditing arm of the Department of Health and Human Services (HHS) plans to crack down on hospital performance in the areas of reporting of adverse events and quality measure data, present on admission coding, inpatient outlier payments, and same-day readmissions.
By Vickie Balistreri, BA, RHIA, CCS, CCS-P, CCDS, CPC, CPC-H
“Tell me and I’ll forget. Show me, and I may not remember. Involve me, and I’ll understand.” I often think about that adage when attempting to educate physicians about CDI efforts. One of the most challenging and yet...Read More »
If the data is true, the population of a couple of concentrated areas in California suffer from kwashiorkor syndrome, a type of malnutrition typically seen among children in third-world countries, according to...Read More »
