A November report from the Government Accountability Office (GAO) calls on CMS to provide better oversight of its key audit contractors specifically related to Medicaid. The report called the National Medicaid Audit Program (NMAP) “inefficient...Read More »
The fight over medical necessity continued last week as the American Hospital Association and its four co-plaintiffs asks courts to “expedite” a lawsuit against U.S. Department of Health and Human Services (HHS) for unfair Medicare practices pertaining to the Recovery Auditor program.
During its November House of Delegates meeting in Honolulu, members of the American Medical Association (AMA) again vocalized its opposition to ICD-10 implementation, according to a preliminary report of its 2012...Read More »
When CMS stopped paying for healthcare-associated infections such as catheter-associated blood stream infection and urinary tract infections, the agency expected rates for such infections to decline. In fact a recent study “found no evidence that the 2008 CMS policy had any measurable effect on...Read More »
More than $10 million: That’s what Florida-based BayCare Health System agreed to pay the federal government to settle a four-year investigation of its billing for cardiac and vascular procedures, according to a Department of...Read More »
CDI networking efforts have grown since ACDIS’ inception to nearly 40 local chapters across the country. They range in formality but share the mission to bring quality CDI practices to their facilities and to share lessons learned amongst fellow professionals. November events take place in...Read More »
On October 16, Representative Sam Graves (R-MO) introduced legislation to reform Recovery Auditors (RA) through various financial penalties and program limitations. (Read a related article in CDI ...Read More »
A bill, introduced October 16, aims to curtail the proliferation of healthcare audits and medical requests and improve results of Medicare audit programs. Introduced to the House by Representatives Sam Graves (R-MO) and Adam...Read More »
