Medicare would’ve saved over $300 million if CMS’ bundled payment rates for opioid use disorder (OUD) treatment services had reflected the types and frequency of services actually provided to enrollees, according to a recent Office of Inspector General (OIG) ...Read More »
Year after year, sepsis is a common problem diagnosis for the CDI profession when it comes to missed opportunities and common denials, not to mention a deadly diagnosis for patients. This year, more than 85% of respondents in the...Read More »
Q: Does anyone have experience with denials based on the Global Leadership Initiative on Malnutrition (GLIM) versus the American Society for Parenteral and Enteral Nutrition (ASPEN) criteria?
Response #1: First, as to criteria, it should...Read More »
The Department of Health and Human Services (HHS) Office of the Inspector General (OIG) has released its Spring 2024 Semiannual Report to Congress, according to a...Read More »