The Office of Inspector General (OIG) is calling for Humana Inc. to refund $34.4 million in alleged overpayments made to the payer's HumanaChoice Medicare Advantage plan in 2016 and 2017,...Read More »
Between 2015 and 2016, Peoples Health Network received about $3.3 million in overpayments, according to a recent audit conducted by the Office of Inspector General (OIG). The OIG estimated this amount from the diagnosis codes...Read More »
After a series of problems and delays in their implementation of a new EHR modernization (EHRM) program, more issues have surfaced despite the Department of Veterans Affairs' (VA) efforts. The Department of Defense (DOD) Office of Inspector...Read More »
A New York City provider received an estimated $1.1 million in Medicare overpayments for behavioral health services that did not comply with billing requirements, according to a recent ...Read More »
A recent audit conducted by the Office of Inspector General (OIG) projected that hospitals received $47.8 million in net overpayments from January 2018 through July 2019 for Medicare Part A claims that did not meet national...Read More »
We do many queries for malnutrition and are looking for a better way to get this essential diagnosis into the medical record without a query. I understand that some organizations have the dietitian document it and the provider attest to the diagnosis. Is that acceptable practice? Our thought is...Read More »