The full agenda is now available for the 2024 Revenue Integrity Symposium (RIS), held by the National Association of Healthcare Revenue Integrity (NAHRI)! This year, their third track has been dedicated fully to denials...Read More »
Q: According to one of our private carriers, we should report bilateral services with modifier -50 (bilateral procedure) for physician claims in one of the following ways:
Report modifier -50 on two service lines with 1 unit each
A Connecticut psychologist, Michael Lonski, Ph.D., has been sentenced to 27 months in federal prison for committing a healthcare fraud scheme, according to JustCoding. Lonski was...Read More »
In fiscal year (FY) 2024, United States Department of Health and Human Services (HHS) Office of Inspector General (OIG) audits and investigations conducted are expected to recover $3.44 billion, as reported in the fall 2023...Read More »
UnitedHealthcare (UHC) is facing a class action lawsuit, alleging the company illegally used artificial intelligence (AI) to “systematically deny” skilled nursing facility (SNF) claims, according to Medscape.
In 2022, insufficient documentation caused approximately 91% of improper payments by CMS, according to a report released by the United States Department of Health & Human...Read More »
The Office of Inspector General (OIG) recently completed an audit of CarePlus Health Plans, Inc., finding that 466 out of the 1,656 hierarchical condition category (HCC) codes reviewed could not be validated, according to a federal ...Read More »