The end of last week brought news of a lawsuit that appears to have broad and deep ramifications for the CDI profession. Providence Health & Services, a 34-hospital system headquartered in Renton, Washington, has been hit with a $188.1 million lawsuit for...Read More »
Prime Healthcare in Ontario, California, and its founder and CEO, Dr. Prem Reddy, have agreed to pay $65 million to end a lawsuit alleging the hospital chain engaged in a scheme to fraudulently bill Medicare, the...Read More »
Debra Conrad filed a lawsuit in the U.S. District Court for the Western District against Heartland Regional Medical Center, also known as Mosaic Life Care, alleging wrongful termination for raising concerns about fraudulent billing practices.Read More »
Cecilia Guardiola, RN, resigned from her position as corporate director of CDI after three months over concerns that Banner Health seemed to be billing Medicare improperly.Read More »
U.S. District Court Judge Michael Fitzgerald agreed to dismiss some of the claims against UnitedHealth regarding the risk adjustment payments made before 2009. However, other claims were left standing, including those which allege that after conducting chart reviews and finding invalid codes,...Read More »
One of the wonderful things that time allows us is the ability to look back with an experienced eye and either learn from the past or at the very least have some fun with it.
I remember my first weeks as a CDI specialist as if it just happened....Read More »
The work of a CDI professional can at times seem isolating and unimportant. Does it matter if a query gets answered? When we educate physicians, and tell them what they document matters, are they listening? Then a case comes along and demonstrates not just that the CDI profession does...Read More »