CMS announced on Saturday that all payments to insurers under the risk-adjustment program, including payments for the 2017 benefit year, will be suspended pending 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 »
Last week, CMS announced new initiatives to improve Medicaid program integrity “through greater transparency and accountability, strengthened data, and innovative and robust analytic tools."Read More »
Last week, the AHA submitted four, non-deadline related remedies to reduce the backlog of Medicare billing appeals awaiting adjudication at the ALJ level in response to a federal judge’s request...Read More »
Surgical patients who received nutritional intervention during their hospital stay saw their 30-day readmission rate cut nearly in half, falling from 19.6% to 10.4%, a recent study published in the Journal of Parenteral and...Read More »
Examining readmission and mortality changes from 2010 to 2016, MedPAC found the HRRP contributed to a significant decline in readmission rates without increasing ED visits or observation stays, or adversely impacting mortality rates.Read More »
