SCAN Health Plan received nearly $55 million in overpayments for 164 unvalidated HCCs out of a 1,577 sample for 2015, according to an Office of the Inspector General (OIG) audit. The audit looked to verify diagnosis codes for...Read More »
The Office of Inspector General (OIG) recently conducted an audit of Healthfirst Health Plan, Inc., focused on seven groups of high-risk diagnosis codes to determine whether the organization complied with federal...Read More »
For the last few years, ACDIS has been working with a multiorganizational malnutrition diagnosis, documentation, and coding task force including the American Society for Parenteral and Enteral Nutrition (ASPEN), the Academy of Nutrition and Dietetics (Academy),...Read More »
