In the first half of the 2014 fiscal year, the Office of the Inspector General (OIG) reported more than $3 billion in audit recoveries, nearly $3 billion recovered from investigations, and nearly a million in other non-Department of Health and Human Services (HHS) investigations due to efforts...Read More »
At the close of fiscal year 2013, nearly 5,000 claims denials remained pending review at the Department Appeals Board (DAB) – the last level of administrative review following Administrative Law Judges (ALJ) appeal. The ALJs appeals backlog stood at 460,000, according to the American...Read More »
Physician evaluation and management (E/M) payments cost Medicare $32.3 billion in 2010—about 30% of all Part B payments that year—and of that amount, about $6.7 billion were incorrectly coded or documented, according to an Office of...Read More »
The announcement that ICD-10 would be delayed once again made waves throughout the healthcare industry. In the wake of the passing of the Protecting Access to Medicare Act of 2014, which spurred the delay, CMS released a statement announcing that it canceled ICD-10 end-to-end testing.Read More »
The Office of the Inspector General (OIG) found that Robert Packer Hospital in Sayre, Pa., part of Guthrie Health System, was overpaid $1.876 million, according to a new Medicare compliance review. An audit of nearly 300 claims submitted beween 2009 and...Read More »
