The Health and Human Services (HHS) Office of Inspector General (OIG) has announced its plan to audit hospitals for severe malnutrition diagnosis codes on inpatient claims.
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 »