The Centers for Disease Control and Prevention (CDC) recently updated their COVID-19 dashboard to include information about patient outcomes and comorbid conditions. While CDI professionals are well acquainted with the impact of comorbid conditions on patient severity of illness, risk of...Read More »
The California Department of Managed Health Care (DMHC) has fined Aetna $500,000 for denying almost 93% of investigated emergency department (ED) claims. The fine is the result of Aetna wrongfully denying their members...Read More »
Erratic and unpredictable claim volumes and a host of staffing issues top the list of COVID-19 related problems according to chief financial officers and revenue cycle leaders, according to a recent study commissioned by Alpha Health and conducted through...Read More »
Open MRI and Imaging of RP Vestibular Diagnostics PA has filed a lawsuit against Cigna Health and Life Insurance Co. The New Jersey-based radiology lab claims that the insurer wrongfully denied reimbursement for nearly $400,000 in services...Read More »