The HHS draft strategy to reduce EHR burdens lists several elements related to clinical documentation principally focused on previous recommended changes to E/M...Read More »
CMS and the OIG will conduct a two-part study to assess inpatient hospital billing due to unspecified upcoding in hospital billing—either accidentally or intentionally reporting higher severity codes than supported by documentation to increase payment.Read More »
Findings from a retrospective analysis of inpatient data recently shows that average hospital costs and mortality rates are significantly higher for patients diagnosed with sepsis after hospital admission when compared with patients...Read More »
The federal government has intervened in a lawsuit against Sutter Health, taking the side of a whistleblower who claims the nonprofit health system inflated the risk scores of Medicare Advantage plan enrollees to secure higher risk-adjusted payments.Read More »
