Between 2010 and 2019, the United States saw a significant decrease in the rates of adverse events for patients admitted for acute myocardial infarction, heart failure, pneumonia, and major surgical procedures,...Read More »
Alleged fraudulent billing schemes were charged against 36 defendants at an estimated $1.2 billion, according to Medscape Medical News. The fraud was tied to telemedicine, genetic and cardiovascular testing, and equipment,...Read More »
CMS released a proposal for the calendar year 2023 Outpatient Prospective Payment System (OPPS) and the Ambulatory Surgical Center (ASC) Payment System on July 15, 2022, which includes updates to OPPS and ASC payment rates and Rural Emergency Hospital (REH) policies. The proposed policies will...Read More »
Recently, the Kaiser Family Foundation analyzed transparency data released by CMS on claims denials and appeals data reported in 2020 and released...Read More »
Between 2015 and 2016, Peoples Health Network received about $3.3 million in overpayments, according to a recent audit conducted by the Office of Inspector General (OIG). The OIG estimated this amount from the diagnosis codes...Read More »
