Improper hospital claims dropped from $10.45 billion to $4.42 billion from the 2014 report period (July 1, 2012 to June 30, 2013) to the 2016 report period (July 1, 2014 to June 30, 2015), according...Read More »
Every year the Office of the Inspector General (OIG) publishes a list of its audit targets for the following calendar year. Although this hefty tome tops 100 pages, it’s worth a review to ensure the OIG’s targets aren’t diagnoses and documentation trouble spots at your facility.Read More »
CMS will hold a MLN Connects® National Provider Call on Monday, December 12, 1:30-3 p.m., Eastern, regarding the 2016 hospital appeals settlement update, which became available to providers with outstanding claims denials as of December 1.
On November 3, 2016, CMS provided details on the...Read More »
A couple of weeks ago, the 3,500th person to hold the CCDS certification passed the exam. We are delighted to introduce you to Jaime Brown, BSN, RN, CCDS, a CDI specialist at Ochsner Health System at Jefferson Parish, Louisiana. Please join us in congratulating her on...Read More »
CMS recently released details of its next round of settlements for hospitals with pending inpatient appeals to help clear a massive backlog that has been the subject of a long-running lawsuit.
With appeals waiting for adjudication before Administrative Law Judges (ALJ) ...Read More »
The pay regulations for 2017 are expected to increase Medicare payments to hospitals for outpatient services by 1.7%, according to details about the 2017 ...Read More »
Physician payment rates will increase 0.24% for 2017 compared to 2016, according to the 2017 Physician Fee Schedule Final Rule, released by CMS on November 3. This increase comes after application of the...Read More »
